| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 66460 |
| Arresting agency: | Department of Public Safety |
| Booking number: | 286552 |
| Booking date: | Feb 15, 2004 |
| Release date: | Feb 17, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | *VOP*14087-B1 |
| Offense date: | Jan 1, 1900 |
| Issuing authority: | TAYLOR CO |
| Charge: | FORGERY |