| Date of birth: | Sep 30, 1973 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 11190 |
| Booking number: | 24692 |
| Arresting agency: | Athens PD |
| Booking date: | Mar 3, 2004 |
| Release date: | Mar 3, 2004 |
| Arresting agency: | Athens PD |
| Booking number: | 24692 |
| Booking date: | Mar 3, 2004 |
| Release date: | Mar 3, 2004 |
| Booking location: | Henderson County, TX |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Jail name: | Henderson County,TX Jail |
| Location: | 206 N Murchison St, Athens, TX 75751 |
| Warrant: | 2617 |
| Offense date: | Mar 2, 2004 |
| Issuing authority: | JP-5 |
| Fine or court cost: | $130 |
| Charge: | DROVE NOT SECURED BY SAFETY BELT |