| Hair: | Grey or partially grey |
| Eyes: | Blue |
| SO#: | 47192 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 217523 |
| Booking date: | Mar 23, 1996 |
| Release date: | Mar 23, 1996 |
| Booking location: | Tom Green County, TX |
| Warrant: | REFUSED |
| Offense date: | Mar 23, 1996 |
| Issuing authority: | 87991 |
| Charge: | INTERF W/ DUTIES OF PB SERVANT |
| Bond type: | $500 Surety Bond |