| Hair: | Black |
| Eyes: | Brown |
| SO#: | 68763 |
| Arresting agency: | Tom Green County Sheriff's Office |
| Booking number: | 293821 |
| Booking date: | Nov 10, 2004 |
| Release date: | Nov 10, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | A-04-1247-S |
| Offense date: | Jun 1, 2003 |
| Issuing authority: | 51st District Court |
| Charge: | INSURANCE FRAUD >=$1,500 |
| Bond type: | $5,000 Surety Bond |