| Date of birth: | Jan 8, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 117713 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 67951 |
| Booking date: | Jun 14, 2004 |
| Release date: | Jun 15, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ04-0455 |
| Offense date: | Jun 14, 2004 |
| Issuing authority: | JP 2-1 |
| Fine or court cost: | $200 |
| Charge: | ASSAULT-FAMILY VIOLENCE |