| Date of birth: | Jul 22, 1979 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 327679 |
| Booking number: | 2004010240 |
| Booking date: | Jan 9, 2004 |
| Release date: | Jan 10, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | REVOKED LICENSE |
| Statute: | 66-5-39A |
| Charge number: | 1 |
| Bond amount: | $2,000 #1 |