| Hair: | Black |
| Eyes: | Brown |
| SO#: | 67121 |
| Arresting agency: | Tom Green County Sheriff's Office |
| Booking number: | 288438 |
| Booking date: | Apr 23, 2004 |
| Release date: | Apr 23, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | COMPLAINT |
| Offense date: | Jan 1, 1900 |
| Issuing authority: | TOM GREEN |
| Fine or court cost: | $100 |
| Charge: | FAIL TO ID |
| Bond type: | $200 Surety Bond |