| Date of birth: | Oct 9, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Permanent location: | ALBION |
| Inmate number: | AS2059 |
| Current location: | ALBION |
| Committing county: | PHILADELPHIA |
| Citizen: | USA |
| SO#: | 68224 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 291968 |
| Booking date: | Sep 4, 2004 |
| Release date: | Sep 4, 2004 |
| Booking location: | Tom Green County, TX |
| Booking location: | Philadelphia County, PA |
| Warrant: | COMPLAINT |
| Offense date: | Sep 4, 2004 |
| Issuing authority: | COKE CO |
| Charge: | DRIVING WHILE LIC SUSPENDED/SR |
| Bond type: | $2,000 Surety Bond |