| Date of birth: | Dec 15, 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 11021 |
| Booking number: | 24289 |
| Arresting agency: | Gun Barrel City PD |
| Booking date: | Feb 7, 2004 |
| Release date: | Feb 7, 2004 |
| Arresting agency: | Gun Barrel City PD |
| Booking number: | 24289 |
| Booking date: | Feb 7, 2004 |
| Release date: | Feb 7, 2004 |
| Booking location: | Henderson County, TX |
| Jail name: | Henderson County,TX Jail |
| Location: | 206 N Murchison St, Athens, TX 75751 |
| Warrant: | F03M105 |
| Offense date: | Feb 7, 2004 |
| Issuing authority: | KAUFMAN CO DIST |
| Charge: | FRAUD POSS CS/PRESCRIPTION SCH III/IV |
| Bond type: | $25,000 Surety Bond |