| Date of birth: | May 30, 1962 |
| Hair: | Black |
| Eyes: | Black |
| SO#: | 158461 |
| Arresting agency: | Pearland Police Department |
| Booking number: | 320911 |
| Booking date: | Sep 25, 2013 |
| Release date: | Sep 26, 2013 |
| Booking location: | Brazoria County, TX |
| Warrant: | 1383483 |
| Issuing authority: | 3-2 |
| Charge: | HCSO FRAUD INTENT TO OBTAIN CS SCH III |