| Hair: | Black |
| Eyes: | Blue |
| SO#: | 869 |
| Arresting agency: | Other Agency |
| Booking number: | 12919 |
| Booking date: | Apr 29, 1963 |
| Release date: | Apr 29, 1963 |
| Jail name: | Andrews County Sheriff |
| Location: | 201 N Main St #113, Andrews, TX 79714 |
| Warrant id: | Warrantless/On-View |
| Charge: | VAG |
| Fine or court cost: | $25.50 |
| Charge desposition: | Converted Charge Disposition |