| Date of birth: | May 6, 1945 |
| Hair: | Black |
| Eyes: | Black |
| State no: | A11130904 |
| State id: | A11130904 |
| Inmate number: | 157444 |
| Booking number: | 0400019060 |
| Booking date: | Jun 7, 2004 |
| Release date: | Jul 16, 2004 |
| Booking location: | Madera County, CA |
| Statute description: | FOOD STAMP PROGRAM VIOLATION |
| Statute: | 10980(G)(2) WI |
| Charge number: | 1 |
| Bond amount: | $0 #1 |