| Date of birth: | Apr 9, 1965 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 13091601 |
| Release date: | Sep 16, 2013 |
| Booking number: | 80240 |
| Booking date: | Sep 16, 2013 |
| Arresting agency: | Department of Public Safety |
| Booking location: | Henderson County, TX |
| Arresting agency: | Department of Public Safety |
| Booking number: | 80240 |
| Booking date: | Sep 16, 2013 |
| Release date: | Sep 16, 2013 |
| Jail name: | Henderson County,TX Jail |
| Location: | 206 N Murchison St, Athens, TX 75751 |
| Warrant id: | 2013-0953CL2 |
| Charge: | FALSE/DECEP STATEMENT CONCERN EMS STAFF/EQUIP |
| Issuing auth: | HCCL |
| Offense date: | Sep 15, 2013 |
| Bond type: | $5,000 - Surety Bond |
| Charge desposition: | Surety Bond Posted By Bondsman |
