| Hair: | Black |
| Eyes: | Brown |
| SO#: | 127655 |
| Arresting agency: | Constable - Pct. 6 |
| Booking number: | 336112 |
| Booking date: | Jun 24, 2004 |
| Release date: | Jun 24, 2004 |
| Booking location: | Denton County, TX |
| Warrant: | HC04-054J6 |
| Offense date: | Oct 1, 2003 |
| Issuing authority: | DENTON 6 |
| Fine or court cost: | $215 |
| Charge: | IBC |