| Date of birth: | Dec 11, 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 328072 |
| Booking number: | 2004020500 |
| Booking date: | Feb 21, 2004 |
| Release date: | Feb 22, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | CONCEALING ID |
| Statute: | 30-22-3 |
| Charge number: | 1 |
| Bond amount: | $500 #1 |
| Charge number: | 1 |
