| Date of birth: | Aug 11, 1941 |
| Hair: | Brown |
| Eyes: | Brown |
| Skin: | MED |
| Pid: | 17503 |
| Key: | 96021307464391 |
| Dorm: | 2-2 -5 |
| Birth place: | CA |
| Arrest number: | 828948 |
| Booking date: | Feb 13, 1996 |
| Booking location: | Brown County, TX |
| Release date: | Feb 13, 1996 |
| Offense: | SELL ALCOHOLIC BEV DURING PROH HOURS/COUNTY |
| Book date: | Feb 13, 1996 |
| Bondsman: | NITA'S BAIL BONDS |
| Bond amount: | $1,000 |