| Date of birth: | Sep 4, 1935 |
| Hair: | Gray |
| Eyes: | Blue |
| Facial hair: | N |
| Skin: | MED |
| Pid: | 61754 |
| Key: | 04062723025507 |
| Glasses: | Y |
| Dorm: | A306-0010 |
| Birth place: | TX |
| Arrest number: | 14441 |
| Booking date: | Jun 27, 2004 |
| Booking location: | Titus County, TX |
| Release date: | Jun 28, 2004 |
| Offense: | INJURY CHILD/ELDERLY/DISABLE W/INT BODILY INJ |
| Book date: | Jun 27, 2004 |
| Bondsman: | #2 AAA BB |
| Bond amount: | $30,000 |
