| Date of birth: | Sep 14, 1958 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 89264 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 71120 |
| Booking date: | Sep 2, 2004 |
| Release date: | Sep 4, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | HJ005147 |
| Issuing authority: | 4/2 |
| Fine or court cost: | $300 |
| Charge: | PI |