| Date of birth: | Jun 15, 1951 |
| Hair: | Grey or partially grey |
| Eyes: | Green |
| SO#: | 0205282 |
| Dl: | TX-07849509 |
| Booking number: | 78735 |
| Arresting agency: | Boyd Police Dept |
| Booking date: | Aug 22, 2013 |
| Release date: | Aug 23, 2013 |
| Arresting agency: | Boyd Police Dept |
| Booking number: | 78735 |
| Booking date: | Aug 22, 2013 |
| Release date: | Aug 23, 2013 |
| Booking location: | Wise County, TX |
| Jail name: | Wise County Jail |
| Location: | 200 Rook Ramsey Dr, Decatur, TX 76234 |
| Warrant: | 2013EX0082 |
| Offense date: | Mar 21, 2013 |
| Issuing authority: | DISTRICT |
| Charge: | FRAUD DEL CS/PRESCRIPTION SCH III |
| Bond type: | $5,000 Surety Bond |