| Date of birth: | Aug 26, 1941 |
| Hair: | Brown |
| Eyes: | Brown |
| Skin: | MED |
| Pid: | 169 |
| Key: | 95112714164550 |
| Dorm: | V - 1 |
| Birth place: | TX |
| Arrest number: | 828795 |
| Booking date: | Nov 27, 1995 |
| Booking location: | Brown County, TX |
| Release date: | Nov 27, 1995 |
| Offense: | TAMPER W/ GOVT RECORD |
| Book date: | Nov 27, 1995 |
| Bondsman: | PR BOND PER JUDGE |
| Bond amount: | $2,500 |