| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 86468 |
| Arresting agency: | Arrest Out of County |
| Booking number: | 363574 |
| Release date: | Nov 3, 2011 |
| Booking location: | Tom Green County, TX |
| Warrant: | W-319-11 |
| Offense date: | Jul 6, 2010 |
| Issuing authority: | TOM GREEN |
| Charge: | FRAUD POSS CS/PRESCRIPTION SCH III/IV |
| Bond type: | $1,000 Surety Bond |