| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 129651 |
| Arresting agency: | Constable - Pct. 2 |
| Booking number: | 341828 |
| Booking date: | Oct 1, 2004 |
| Release date: | Oct 1, 2004 |
| Booking location: | Denton County, TX |
| Warrant: | I04-052J2 |
| Issuing authority: | DENTON JP2 |
| Fine or court cost: | $250 |
| Charge: | IBC |