| Date of birth: | Dec 30, 1951 |
| Hair: | Blond |
| Eyes: | Brown |
| State no: | 0121100368844 |
| Inmate number: | 352943 |
| Booking number: | 1100104934 |
| Booking date: | Jul 8, 2011 |
| Release date: | Jul 9, 2011 |
| Booking location: | Santa Fe County, NM |
| Statute description: | CONCEALING ID |
| Statute: | 16-14.3 |
| Charge number: | 1 |
| Case number: | SFPD |
| Bond type: | CASH |
| Bond amount: | $500 #1 |
