| Date of birth: | Jun 2, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 117662 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 67793 |
| Booking date: | Jun 9, 2004 |
| Release date: | Jun 9, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ040443 |
| Issuing authority: | 21 |
| Fine or court cost: | $200 |
| Charge: | PUBLIC INTOXICATION |