| Date of birth: | May 14, 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 115893 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 61662 |
| Booking date: | Jan 15, 2004 |
| Release date: | Jan 15, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | CT0404367 |
| Offense date: | Jan 15, 2004 |
| Issuing authority: | JP2-1 |
| Charge: | ASLT PHY CONTACT |
| Bond type: | $500 Bail Bond |