| Hair: | Black |
| Eyes: | Brown |
| SO#: | 68707 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 293603 |
| Booking date: | Nov 2, 2004 |
| Release date: | Nov 2, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | REFUSED |
| Offense date: | Nov 2, 2004 |
| Issuing authority: | TOM GREEN |
| Charge: | FRAUD DESTROY REMOVAL CONCEALMENT WRITING |
| Bond type: | $500 Surety Bond |