| Hair: | Black |
| Eyes: | Brown |
| SO#: | 68291 |
| Arresting agency: | Lake & Park Police |
| Booking number: | 292137 |
| Booking date: | Sep 10, 2004 |
| Release date: | Sep 25, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | 03801643 |
| Offense date: | Jan 1, 1900 |
| Issuing authority: | 04-M01705 |
| Fine or court cost: | $1,604 |
| Charge: | CITY COMMITMENT X2 |