| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 47273 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 217867 |
| Booking date: | Apr 4, 1996 |
| Release date: | Apr 4, 1996 |
| Booking location: | Tom Green County, TX |
| Warrant: | W-148-96/A-96-0346-S |
| Offense date: | Apr 4, 1996 |
| Issuing authority: | 88254/TOM GREEN |
| Charge: | INSUR CLAIM FRAUD >=$750 |