| Date of birth: | Oct 19, 1955 |
| Hair: | Black |
| Eyes: | Brown |
| Skin: | MED |
| Pid: | 64692 |
| Key: | 04113012530647 |
| Dorm: | A -0005 |
| Arrest number: | 15096 |
| Booking date: | Nov 30, 2004 |
| Booking location: | Titus County, TX |
| Release date: | Dec 15, 2004 |
| Offense: | VIOLATION OF PAROLE |
| Book date: | Nov 30, 2004 |
| Bond amount: | $0 |