| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | 25977 |
| Arresting agency: | Wood County Sheriff's Office |
| Booking number: | 46660 |
| Booking date: | Jan 21, 2010 |
| Release date: | Jan 21, 2010 |
| Jail name: | Wood County Jail |
| Location: | 402 N Stephens St, Quitman, TX 75783 |
| Warrant id: | M09-091-4 |
| Charge: | FORGE ALTER PRESCRIPTION |
| Issuing auth: | 4 |
| Offense date: | Dec 9, 2009 |
| Charge desposition: | Cash Bond |