| Date of birth: | Nov 26, 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 05119-24 |
| Facility: | Main Jail |
| Dl: | TX-10428394 |
| Arresting agency: | Guadalupe County Sheriff's Office |
| Booking number: | 91985 |
| Booking date: | Apr 29, 2005 |
| Release date: | May 31, 2005 |
| Booking location: | Guadalupe County, TX |
| Warrant: | 04-22-2005-02440169 |
| Offense date: | Apr 29, 2005 |
| Issuing authority: | TDCJ |
| Charge: | PAR-VIO/FRAUD PRESCRIPTION CONTROLLED SUBSTANCE |