| Hair: | Black |
| Eyes: | Brown |
| SO#: | 67432 |
| Arresting agency: | Lake & Park Police |
| Booking number: | 289512 |
| Booking date: | May 31, 2004 |
| Release date: | May 31, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | REFUSED |
| Offense date: | May 31, 2004 |
| Issuing authority: | TOM GREEN |
| Charge: | FAIL TO IDENTIFY GIVING FALSE/FICITIOUS INFO |
| Bond type: | $500 Surety Bond |