| Date of birth: | Sep 22, 1957 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 115659 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 60835 |
| Booking date: | Dec 25, 2003 |
| Release date: | Jul 6, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | HJ004734 |
| Offense date: | Dec 25, 2003 |
| Issuing authority: | CC2 |
| Charge: | TAMPER W/ GOVERNMENT RECORD DEFRAUD/HARM |
| Bond type: | $5,000 Bail Bond |