| Date of birth: | Dec 26, 1949 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 115764 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 61182 |
| Booking date: | Jan 4, 2004 |
| Release date: | Jan 6, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | FJS1954 |
| Offense date: | Jan 4, 2004 |
| Issuing authority: | JP 3-2 |
| Fine or court cost: | $300 |
| Charge: | THEFT(MC) |