| Hair: | Black |
| Eyes: | Brown |
| SO#: | 04-84497 |
| Facility: | Main Jail |
| Arresting agency: | Department of Public Safety |
| Booking number: | 214189 |
| Booking date: | Jul 4, 2004 |
| Release date: | Jul 5, 2004 |
| Booking location: | Williamson County, TX |
| Warrant: | 2003CR0621 |
| Offense date: | Jul 4, 2004 |
| Issuing authority: | DPS/WCSO |
| Fine or court cost: | $740 |
| Charge: | FTA (DWLS-INVALID ISSUED) |