| Date of birth: | Jul 15, 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 201700 |
| Booking number: | 2004120125 |
| Booking date: | Dec 4, 2004 |
| Release date: | Dec 12, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | BATT UPON A H/H MEMBER M49VRM200400471DIV |
| Statute: | 30-3-15 |
| Charge number: | 1 |
| Bond amount: | $2,500 #1 |