| Date of birth: | Dec 21, 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 116644 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 64592 |
| Booking date: | Mar 19, 2004 |
| Release date: | Mar 20, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | HJ004903 |
| Offense date: | Mar 19, 2004 |
| Issuing authority: | JP4-2 ON SITE |
| Charge: | UNL CARRYING WEAPON |
| Bond type: | $1,000 Bail Bond |