| Date of birth: | Oct 1, 1937 |
| Hair: | Gray |
| Eyes: | Green |
| Inmate number: | 331315 |
| Booking number: | 2004120112 |
| Booking date: | Dec 4, 2004 |
| Release date: | Dec 4, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | ASSAULT AGAINST A H/H MEMBER |
| Statute: | 30-3-12A2 |
| Charge number: | 1 |
| Bond amount: | $5,000 #1 |
| Charge number: | 1 |
