| Date of birth: | Jun 3, 1940 |
| Hair: | Gray |
| Eyes: | Brown |
| Facial hair: | Y |
| Skin: | MED |
| Pid: | 63767 |
| Key: | 04042021593467 |
| Glasses: | Y |
| Dorm: | HO1 |
| Build: | MED |
| Birth place: | TX |
| Description: | SC L FGR |
| Arrest number: | 47068 |
| Booking date: | Apr 20, 2004 |
| Booking location: | Texas |
| Release date: | Apr 21, 2004 |
| Offense: | DRIVING WHILE LIC SUSPENDED/INVALID |
| Book date: | Apr 20, 2004 |
| Bondsman: | TELEBOND |
| Bond amount: | $1,000 |