| Date of birth: | May 5, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Inmate number: | 304527 |
| Booking number: | 2004080734 |
| Booking date: | Aug 30, 2004 |
| Release date: | Aug 30, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | ASSAULT HOUSEHOLD MEMBER |
| Statute: | 30-3-12 |
| Charge number: | 1 |
| Bond amount: | $5,000 #1 |