| Date of birth: | Sep 23, 1947 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 71057 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 70925 |
| Booking date: | Aug 28, 2004 |
| Release date: | Aug 29, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | AJ040343 |
| Issuing authority: | JP 1-1 |
| Fine or court cost: | $200 |
| Charge: | DOC-FIGHTING |