| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 68784 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 293875 |
| Booking date: | Nov 12, 2004 |
| Release date: | Nov 27, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | 55188 |
| Offense date: | Jan 1, 1900 |
| Issuing authority: | HOPKINSVILLE,KY |
| Charge: | FUGITIVE FROM JUSTICE |