| Date of birth: | Dec 12, 1939 |
| Hair: | Gray |
| Eyes: | Blue |
| Skin: | MED |
| Pid: | 52553 |
| Key: | 03112415571814 |
| Dorm: | H -7 |
| Birth place: | TX |
| Arrest number: | 834936 |
| Booking date: | Nov 24, 2003 |
| Booking location: | Brown County, TX |
| Release date: | Nov 25, 2003 |
| Offense: | ASSAULT BY THREAT FV/BROWN CO JP 3-MCCAIN |
| Book date: | Nov 24, 2003 |
| Bond amount: | $1,000 |