| Date of birth: | Nov 8, 1943 |
| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | 119657 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 73991 |
| Booking date: | Nov 16, 2004 |
| Release date: | Nov 16, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | 47937 |
| Offense date: | Oct 1, 2003 |
| Issuing authority: | DC |
| Charge: | FALSE NAME INFO/FORGERY VEHICLE REGISTRATION |
| Bond type: | $5,000 Bail Bond |