| Date of birth: | Mar 8, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 111733 |
| Arresting agency: | Texas Alcohol and Beverage Commission |
| Booking number: | 72875 |
| Booking date: | Oct 17, 2004 |
| Release date: | Oct 17, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | BJ04-378 |
| Issuing authority: | 1/2 |
| Fine or court cost: | $200 |
| Charge: | PUBLIC INTOXICATION |