| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 68678 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 293503 |
| Booking date: | Oct 30, 2004 |
| Release date: | Oct 30, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | COMPLAINT |
| Offense date: | Oct 30, 2004 |
| Issuing authority: | 04-M02145 |
| Fine or court cost: | $147 |
| Charge: | PUBLIC INTOXICATION |
| Bond type: | $294 Surety Bond |