| Date of birth: | Mar 13, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 205040 |
| Booking number: | 211928 |
| Booking date: | Aug 8, 1998 |
| Release date: | Aug 8, 1998 |
| Booking location: | Santa Fe County, NM |
| Statute description: | revoked lic. |
| Statute: | 66-5-39 |
| Charge number: | 1 |
| Bond amount: | $500 #1 |