| Date of birth: | Mar 17, 1920 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 80291 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 60794 |
| Booking date: | Dec 23, 2003 |
| Release date: | Dec 24, 2003 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ030809 |
| Issuing authority: | 2-1 |
| Fine or court cost: | $200 |
| Charge: | PUBLIC INTOXICATION |