| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 104898 |
| Arresting agency: | Constable - Pct. 4 |
| Booking number: | 276222 |
| Booking date: | Jun 22, 2001 |
| Release date: | Jun 22, 2001 |
| Booking location: | Denton County, TX |
| Warrant: | 3417672 |
| Issuing authority: | BEDFORD PD |
| Fine or court cost: | $124.25 |
| Charge: | CPF/FTA |