| Date of birth: | Aug 18, 1934 |
| Hair: | White |
| Eyes: | Hazel |
| Inmate number: | 329763 |
| Booking number: | 2004070467 |
| Booking date: | Jul 16, 2004 |
| Release date: | Jul 17, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | PROTECTIVE CUSTODY |
| Statute: | PC |
| Charge number: | 1 |
| Bond amount: | $0 #1 |
| Charge number: | 1 |