| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 67433 |
| Arresting agency: | Texas Alcohol & Beverage Commission |
| Booking number: | 289435 |
| Booking date: | May 29, 2004 |
| Release date: | May 29, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | O/S 04-02331 |
| Offense date: | May 29, 2004 |
| Issuing authority: | TOM GREEN |
| Charge: | FAIL TO IDENTIFY FUGITIVE FROM JUSTICE |
| Bond type: | $500 Surety Bond |