| Date of birth: | Sep 21, 1918 |
| Hair: | White |
| Eyes: | Blue |
| SO#: | 116680 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 64643 |
| Booking date: | Mar 21, 2004 |
| Release date: | Mar 21, 2004 |
| Jail name: | Brazoria County Jail |
| Location: | 3602 County Rd 45, Angleton, TX 77515 |
| Warrant id: | CJ04-0195 |
| Charge: | ASSAULT CAUSES BODILY INJ |
| Issuing auth: | JP 2-1/ONSITE |
| Offense date: | Mar 21, 2004 |
| Charge desposition: | Personal Recognizance Bond |