| Hair: | Brown |
| Eyes: | Green |
| SO#: | 65649 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 283741 |
| Booking date: | Oct 20, 2003 |
| Release date: | Oct 20, 2003 |
| Booking location: | Tom Green County, TX |
| Warrant: | O/S 03-03234L2 |
| Offense date: | Oct 20, 2003 |
| Issuing authority: | TOM GREEN |
| Fine or court cost: | $300 |
| Charge: | FAIL TO IDENTIFY GIVING FALSE/FICITIOUS INFO |
| Bond type: | $500 Surety Bond |