| Date of birth: | Sep 7, 1939 |
| Hair: | Blond |
| Eyes: | Hazel |
| Inmate number: | 331155 |
| Booking number: | 2004110484 |
| Booking date: | Nov 19, 2004 |
| Release date: | Nov 24, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | BATTERY ON A HOUSEHOLD MEMBER M49VRM200400547DIV |
| Statute: | 30-3-15 |
| Charge number: | 1 |
| Bond amount: | $5,000 #1 |