| Date of birth: | Dec 12, 1946 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 04263-02 |
| Facility: | Main Jail |
| Dl: | TX-12806881 |
| Arresting agency: | Guadalupe County Sheriff's Office |
| Booking number: | 88067 |
| Booking date: | Sep 20, 2004 |
| Release date: | Sep 30, 2004 |
| Booking location: | Guadalupe County, TX |
| Warrant: | 00-0994-CR |
| Offense date: | Sep 20, 2004 |
| Issuing authority: | DIST/GUAD |
| Charge: | FORGERY |