| Date of birth: | Aug 7, 1958 |
| Hair: | Gray |
| Eyes: | Brown |
| State no: | A07432079 |
| State id: | A07432079 |
| Inmate number: | 089609 |
| Booking number: | 0400021442 |
| Booking date: | Sep 27, 2004 |
| Release date: | Nov 25, 2004 |
| Booking location: | Madera County, CA |
| Statute description: | FRAUD TO OBTAIN AID |
| Statute: | 10980 (C)(2) WI |
| Charge number: | 1 |
| Bond amount: | $0 #1 |