| Date of birth: | Nov 10, 1942 |
| Hair: | Black |
| Eyes: | Brown |
| Facial hair: | Y |
| Skin: | DBR |
| Pid: | 4628 |
| Key: | 04073104430404 |
| Glasses: | N |
| Dorm: | W1-C-B 09 |
| Build: | MEDIUM |
| Birth place: | TX |
| Description: | TAT UL ARM |
| Arrest number: | 14433 |
| Booking date: | Jul 31, 2004 |
| Booking location: | Titus County, TX |
| Release date: | Jul 31, 2004 |
| Offense: | POSS CS PG 1 |
| Book date: | Jul 31, 2004 |
| Bond amount: | $10,000 |