| Date of birth: | Nov 4, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 331242 |
| Booking number: | 2004110670 |
| Booking date: | Nov 26, 2004 |
| Release date: | Nov 28, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | ASSAULT ON HHM |
| Statute: | 20-29.4 |
| Charge number: | 1 |
| Bond amount: | $500 #1 |
| Charge number: | 1 |
