| Date of birth: | Sep 19, 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 118247 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 69709 |
| Booking date: | Jul 31, 2004 |
| Release date: | Jul 31, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | 3030JG |
| Issuing authority: | JP 4/1 |
| Fine or court cost: | $300 |
| Charge: | ASSAULT |