| Date of birth: | Jun 14, 1942 |
| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | 117613 |
| Arresting agency: | Pearland Police Department |
| Booking number: | 67647 |
| Booking date: | Jun 5, 2004 |
| Release date: | Jun 5, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | FJ013285 |
| Offense date: | Jun 5, 2004 |
| Issuing authority: | JP3/1 |
| Charge: | FAIL TO STOP AND GIVE INFO(NO OFF CODE AVAILABLE) |
| Bond type: | $1,000 Bail Bond |