| Date of birth: | May 21, 1936 |
| Hair: | Gray |
| Eyes: | Hazel |
| Zip code: | 80415 |
| State no: | 012140065781 |
| Inmate number: | 360639 |
| Current location: | RELEASED |
| Booking number: | 1401006332 |
| Booking date: | Aug 11, 2014 |
| Release date: | Aug 12, 2014 |
| Booking location: | Santa Fe County, NM |
| Statute description: | CONCEAL IDENTITY |
| Statute: | 30-22-3 |
| Charge number: | 1 |
| Case number: | SFPD |
| Bond type: | CASH |
| Bond amount: | $500 #1 |
