| Date of birth: | Nov 24, 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 331222 |
| Booking number: | 2004110626 |
| Booking date: | Nov 25, 2004 |
| Release date: | Nov 30, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | AGG BATTERY ON HOUSEHOLD MEMBER M49VRF200400459 |
| Statute: | 30-3-16 |
| Charge number: | 1 |
| Bond amount: | $25,000 #1 |