| Date of birth: | May 4, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 52181 |
| Arresting agency: | Surfside Beach Police Department |
| Booking number: | 74078 |
| Booking date: | Nov 18, 2004 |
| Release date: | Nov 20, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | BJ04401 |
| Issuing authority: | 1-2 |
| Fine or court cost: | $250 |
| Charge: | PUBLIC INTOXICATION |