| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 68084 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 291533 |
| Booking date: | Aug 19, 2004 |
| Release date: | Aug 19, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | COMPLAINT |
| Offense date: | Aug 19, 2004 |
| Issuing authority: | COKE COUNTY |
| Charge: | FICTITIOUS COUNTERFEIT INSP/INS DOC FOR DISPLAY |
| Bond type: | $2,000 Surety Bond |