| Date of birth: | Jun 21, 1959 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 118063 |
| Arresting agency: | Surfside Beach Police Department |
| Booking number: | 73229 |
| Booking date: | Oct 26, 2004 |
| Release date: | Oct 26, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | BJ04388 |
| Offense date: | Oct 26, 2004 |
| Issuing authority: | 1-2 |
| Charge: | DRIVING WHILE LIC SUSPENDED/SR |
| Bond type: | $500 Bail Bond |