| Date of birth: | Dec 29, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 04283-03 |
| Facility: | Main Jail |
| Dl: | TX-12614980 |
| Arresting agency: | Selma PD |
| Booking number: | 88409 |
| Booking date: | Oct 10, 2004 |
| Release date: | Oct 11, 2004 |
| Booking location: | Guadalupe County, TX |
| Warrant: | OCA/554662 |
| Offense date: | Oct 10, 2004 |
| Issuing authority: | CCL/TRAVIS |
| Charge: | FRAUD POSS/MAN W/INT CS/PRESCRIPTION/WARRANT |
| Bond type: | $2,500 Surety Bond |