| Hair: | Black |
| Eyes: | Brown |
| SO#: | 199284 |
| Arresting agency: | Flower Mound Police Department |
| Booking number: | 533733 |
| Booking date: | Aug 17, 2015 |
| Release date: | Oct 5, 2015 |
| Booking location: | Denton County, TX |
| Warrant: | CR-2015-05531-D |
| Offense date: | Aug 15, 2015 |
| Issuing authority: | CCC4 |
| Fine or court cost: | $579 |
| Charge: | FORGE ALTER PRESCRIPTION |