| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 65222 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 282339 |
| Booking date: | Aug 22, 2003 |
| Release date: | Aug 22, 2003 |
| Booking location: | Tom Green County, TX |
| Warrant: | 1057M03 |
| Offense date: | Aug 22, 2003 |
| Issuing authority: | BURNETT CO. |
| Charge: | FRAUD POSS CS/PRESCRIPT SCH III/IV |