| Date of birth: | Dec 1, 1950 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 118203 |
| Arresting agency: | Brookside Village Police Department |
| Booking number: | 69497 |
| Booking date: | Jul 26, 2004 |
| Release date: | Jul 26, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | FJS2092 |
| Offense date: | Jul 26, 2004 |
| Issuing authority: | JP# 3/2 |
| Charge: | PUBLIC INTOXICATION |
| Bond type: | $500 Bail Bond |