| Date of birth: | Oct 3, 1936 |
| Hair: | Grey or partially grey |
| Eyes: | Green |
| SO#: | 115042 |
| Arresting agency: | Constable 1 |
| Booking number: | 58497 |
| Booking date: | Oct 28, 2003 |
| Release date: | Oct 29, 2003 |
| Booking location: | Brazoria County, TX |
| Warrant: | BJ03215 |
| Offense date: | Oct 28, 2003 |
| Fine or court cost: | $100 |
| Charge: | PUBLIC INTOXICATION C |