| Date of birth: | Apr 5, 1927 |
| Hair: | Grey or partially grey |
| Eyes: | Hazel |
| SO#: | 118932 |
| Release date: | Sep 27, 2004 |
| Booking number: | 72098 |
| Booking date: | Sep 27, 2004 |
| Arresting agency: | Department of Public Safety |
| Booking location: | Brazoria County, TX |
| Arresting agency: | Department of Public Safety |
| Booking number: | 72098 |
| Booking date: | Sep 27, 2004 |
| Release date: | Sep 27, 2004 |
| Jail name: | Brazoria County Jail |
| Location: | 3602 County Rd 45, Angleton, TX 77515 |
| Warrant id: | H030234 |
| Charge: | FICTITIOUS COUNTERFEIT INSP/INS DOC FOR DISPLAY |
| Issuing auth: | 4-2 |
| Offense date: | Sep 27, 2004 |
| Bond type: | $500 - Bail Bond |
| Charge desposition: | Cash Bond |
