| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | 67942 |
| Arresting agency: | Lewisville Police Department |
| Booking number: | 176858 |
| Booking date: | Dec 4, 1995 |
| Release date: | Dec 12, 1995 |
| Booking location: | Denton County, TX |
| Warrant: | 515080 |
| Issuing authority: | MISSOURI |
| Charge: | ESCAPE |