| Date of birth: | Dec 11, 1927 |
| Hair: | Gray |
| Eyes: | Brown |
| Facial hair: | N |
| Skin: | LGT |
| Pid: | 55247 |
| Key: | 04061521195059 |
| Glasses: | N |
| Dorm: | H -6 |
| Build: | SMALL |
| Birth place: | IL |
| Arrest number: | 835415 |
| Booking date: | Jun 15, 2004 |
| Booking location: | Brown County, TX |
| Release date: | Jun 16, 2004 |
| Offense: | DWI/BROWN CO COURT |
| Book date: | Jun 15, 2004 |
| Bondsman: | PR BOND PER JUDGE |
| Bond amount: | $5,000 |