| Date of birth: | Dec 12, 1954 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 120288 |
| Arresting agency: | Manvel Police Department |
| Booking number: | 76057 |
| Booking date: | Jan 12, 2005 |
| Release date: | Jan 12, 2005 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ05-0044 |
| Issuing authority: | 2-1 |
| Fine or court cost: | $300 |
| Charge: | PUBLIC INTOXICATION |