| Date of birth: | Nov 11, 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 207574 |
| Booking number: | 2004070573 |
| Booking date: | Jul 20, 2004 |
| Release date: | Oct 3, 2005 |
| Booking location: | Santa Fe County, NM |
| Statute description: | ARREST ORDER 1B-04-125 D0101CR200001007 |
| Statute: | 31-21-15 |
| Charge number: | 1 |
| Bond amount: | $0 #1 |