| Date of birth: | Jun 24, 1934 |
| Hair: | Grey or partially grey |
| Eyes: | Blue |
| SO#: | 24131 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 69922 |
| Booking date: | Aug 5, 2004 |
| Release date: | Aug 6, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | BJ04303 |
| Issuing authority: | 1/2 |
| Fine or court cost: | $200 |
| Charge: | PUBLIC INTOXICATION |