| Date of birth: | Aug 11, 1949 |
| Hair: | Gray |
| Eyes: | Brown |
| State no: | 260100069391 |
| Inmate number: | 200714 |
| Booking number: | 2004120717 |
| Booking date: | Dec 29, 2004 |
| Release date: | Dec 31, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | CRIMINAL TRESSPASS |
| Statute: | 20-2-110 |
| Charge number: | 1 |
| Bond amount: | $300 #1 |