| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 67015 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 288209 |
| Booking date: | Apr 16, 2004 |
| Release date: | Apr 16, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | O/S 04-01586L2 |
| Offense date: | Apr 16, 2004 |
| Issuing authority: | TOM GREEN |
| Fine or court cost: | $300 |
| Charge: | DRIVING WHILE LIC SUSPENDED/SR |
| Bond type: | $500 Surety Bond |