| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 36428 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 15814 |
| Booking date: | Jan 12, 2004 |
| Release date: | Jan 12, 2004 |
| Jail name: | Bastrop County,TX Sheriff's Office |
| Location: | 200 Jackson St, Bastrop, TX 78602 |
| Warrant id: | X1-3008 |
| Charge: | FALSE REPORT STATEMENT OFFICER/AGENT HMO |
| Issuing auth: | JP 1 |
| Offense date: | Dec 7, 2003 |
| Bond type: | $2,000 - Surety Bond |
| Charge desposition: | Surety Bond |