| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 48631 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 289596 |
| Booking date: | Jun 3, 2004 |
| Release date: | Dec 17, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | 03280157 |
| Offense date: | Jan 1, 1900 |
| Issuing authority: | TDCJ |
| Charge: | PAROLE VIOLATION |