| Date of birth: | Sep 7, 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 117048 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 65880 |
| Booking date: | Apr 21, 2004 |
| Release date: | Apr 21, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ-04-0295 |
| Offense date: | Apr 21, 2004 |
| Issuing authority: | JP 2-1 |
| Charge: | THEFT >=$500 |
| Bond type: | $4,000 Bail Bond |