| Date of birth: | Jan 13, 1986 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 70882 |
| Arresting agency: | Wise County Sheriff's Office |
| Booking number: | 43907 |
| Booking date: | Mar 5, 2004 |
| Release date: | Mar 5, 2004 |
| Jail name: | Wise County Jail |
| Location: | 200 Rook Ramsey Dr, Decatur, TX 76234 |
| Warrant id: | 9920653 |
| Charge: | FALSE REPORT STATEMENT OFFICER/AGENT HMO |
| Issuing auth: | 2-Justice of the Peace Pct 2 |
| Charge desposition: | Released - Posted Bond/Awaiting Trial |