| Date of birth: | May 15, 1936 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | B185230 |
| Arresting agency: | Other Agency |
| Booking number: | 185230 |
| Booking date: | Feb 11, 2002 |
| Release date: | Feb 11, 2002 |
| Jail name: | Brazoria County Jail |
| Location: | 3602 County Rd 45, Angleton, TX 77515 |
| Warrant id: | 42494 |
| Charge: | OBTAIN PRESCRIPTION BY FRAUD |
| Issuing auth: | 000000 |
| Offense date: | Feb 11, 2002 |
| Bond type: | $20,000 - Bail Bond |
| Charge desposition: | Surety Bond |