| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 64454 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 292204 |
| Booking date: | Sep 13, 2004 |
| Release date: | Oct 21, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | A-04-1172-S/W-491-04 |
| Offense date: | Sep 13, 2004 |
| Issuing authority: | TOM GREEN |
| Charge: | FORGERY GOVT INSTRUMENT/MONEY/SECURITIES |