| Date of birth: | Sep 25, 1937 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 107413 |
| Arresting agency: | Other Agency |
| Booking number: | 181697 |
| Booking date: | Oct 22, 2001 |
| Release date: | Oct 23, 2001 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ010653 |
| Issuing authority: | 000001 |
| Fine or court cost: | $250 |
| Charge: | ASSAULT BY CONTACT |