| Hair: | Bald |
| Eyes: | Blue |
| SO#: | 11917 |
| Arresting agency: | Wood County Sheriff's Office |
| Booking number: | 12799 |
| Booking date: | Jan 14, 1994 |
| Release date: | Jan 14, 1994 |
| Jail name: | Wood County Jail |
| Location: | 402 N Stephens St, Quitman, TX 75783 |
| Warrant id: | 20059 |
| Charge: | PASS FORGED PRESCRIPT |
| Issuing auth: | WOOD |
| Bond type: | $1,000 - Surety Bond |
| Charge desposition: | Surety Bond |