| Date of birth: | Dec 20, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 32975 |
| Booking number: | 44301 |
| Arresting agency: | Bertram Police Department |
| Booking date: | Sep 30, 2011 |
| Release date: | Sep 30, 2011 |
| Arresting agency: | Bertram Police Department |
| Booking number: | 44301 |
| Booking date: | Sep 30, 2011 |
| Release date: | Sep 30, 2011 |
| Booking location: | Burnet County, TX |
| Jail name: | Burnet County, TX Jail |
| Location: | 900 County Ln, Burnet, TX 78611 |
| Warrant: | 11-09-06M |
| Offense date: | Sep 6, 2011 |
| Issuing authority: | BETRAM MC |
| Charge: | FALSE REPORT STATEMENT OFFICER/AGENT HMO |
| Bond type: | $2,500 Personal Recognizance Bond |