| Date of birth: | Oct 1, 1964 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 310916 |
| Booking number: | 2004060525 |
| Booking date: | Jun 20, 2004 |
| Release date: | Jun 22, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | REVOKED LICENSE |
| Statute: | 12-6-12.16 |
| Charge number: | 1 |
| Bond amount: | $500 #1 |
