| Date of birth: | Sep 10, 1959 |
| Ethnicity: | N |
| Hair: | Gray |
| Eyes: | Brown |
| Skin: | MED |
| Pid: | 47250 |
| Key: | 02091708315695 |
| Dorm: | H-BD-B |
| Birth place: | TX |
| Arrest number: | 12968 |
| Booking date: | Sep 17, 2002 |
| Booking location: | Titus County, TX |
| Release date: | Sep 17, 2002 |
| Offense: | ASSAULT CAUSES BODILY INJURY FAMILY MEMBER |
| Book date: | Sep 17, 2002 |
| Bond amount: | $1,000 |