| Date of birth: | Oct 2, 1956 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 329531 |
| Booking number: | 2004060640 |
| Booking date: | Jun 26, 2004 |
| Release date: | Jun 29, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | ASSAULT AGAINST HH MEMBER M49VRM200400241D3 |
| Statute: | 30-3-12A |
| Charge number: | 1 |
| Bond amount: | $5,000 #1 |