| Date of birth: | Dec 16, 1951 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 119410 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 73280 |
| Booking date: | Oct 27, 2004 |
| Release date: | Oct 27, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | B04541 |
| Offense date: | Sep 24, 2004 |
| Issuing authority: | 1/2 |
| Charge: | FICTITIOUS COUNTERFEIT INSP/INS DOC FOR DISPLAY |
| Bond type: | $1,500 Bail Bond |