| Date of birth: | Aug 13, 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 202620 |
| Booking number: | 2004110693 |
| Booking date: | Nov 27, 2004 |
| Release date: | Nov 28, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | PROTECTIVE CUSTODY |
| Statute: | PROTECTIVE CUSTODY |
| Charge number: | 1 |
| Bond amount: | $0 #1 |