| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 68730 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 293696 |
| Booking date: | Nov 5, 2004 |
| Release date: | Nov 23, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | O/S 04-03103 |
| Offense date: | Nov 5, 2004 |
| Issuing authority: | TOM GREEN |
| Charge: | ASSAULT CAUSES BODILY INJURY FAMILY VIOLENCE |