| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 31361 |
| Arresting agency: | Sherman Police Department |
| Booking number: | 157231 |
| Release date: | Nov 13, 1981 |
| Jail name: | Grayson County Jail |
| Location: | 200 S Crockett St, Sherman, TX 75090 |
| Warrant id: | OV |
| Charge: | FORGE ALTER PRESCRIPTION |
| Issuing auth: | SPD |
| Charge desposition: | Surety Bond |