| Date of birth: | Apr 5, 1956 |
| Hair: | Black |
| Eyes: | Hazel |
| SO#: | 119633 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 73918 |
| Booking date: | Nov 14, 2004 |
| Release date: | Nov 14, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | BJ04-399 |
| Issuing authority: | JP1-2 |
| Fine or court cost: | $350 |
| Charge: | PUBLIC INTOXICATION |