| Hair: | Black |
| Eyes: | Hazel |
| SO#: | 63769 |
| Arresting agency: | San Angelo City Marshal |
| Booking number: | 290936 |
| Booking date: | Jul 28, 2004 |
| Release date: | Jul 30, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | 04015403 |
| Offense date: | Jan 1, 1900 |
| Issuing authority: | 04-M01424 |
| Fine or court cost: | $539 |
| Charge: | CITY COMMITMENT X 3 |