| Date of birth: | Jan 8, 1922 |
| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | 117494 |
| Arresting agency: | Brookside Village Police Department |
| Booking number: | 67335 |
| Booking date: | May 29, 2004 |
| Release date: | May 29, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | FJG2046 |
| Issuing authority: | JP 3/2 |
| Charge: | NO DL |
| Warrant: | FJS2047 |
| Issuing authority: | JP 3/2 |
| Charge: | NO INS |