| Date of birth: | Dec 7, 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 49678 |
| Arresting agency: | Manvel Police Department |
| Booking number: | 66831 |
| Booking date: | May 16, 2004 |
| Release date: | May 16, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ04-0350 |
| Issuing authority: | JP 2-1/ONSITE |
| Fine or court cost: | $200 |
| Charge: | PUBLIC INTOXICATION C |