| Date of birth: | Sep 29, 1954 |
| Ethnicity: | H |
| Hair: | Brown |
| Eyes: | Brown |
| Skin: | FAR |
| Pid: | 106377 |
| Birth place: | MM |
| Arrest number: | 53356 |
| Booking location: | Cooke County, TX |
| Release date: | Jan 3, 2017 |
| Offense: | PC1170003 -TAMPER W/GOVERNMENT RECORD |
| Book date: | Jan 2, 2017 |
| Bond amount: | $3,000 |