| Date of birth: | Sep 30, 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 67084 |
| Permanent location: | ALBION |
| Inmate number: | HZ8712 |
| Current location: | ALBION |
| Complexion: | LIGHT |
| Committing county: | LACKAWANNA |
| Citizen: | USA |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 288311 |
| Booking date: | Apr 18, 2004 |
| Release date: | Apr 18, 2004 |
| Booking location: | Tom Green County, TX |
| Booking location: | Lackawanna County, PA |
| Warrant: | COMPLAINT |
| Offense date: | Apr 18, 2004 |
| Issuing authority: | 04-M00718 |
| Fine or court cost: | $147 |
| Charge: | PUBLIC INTOXICATION |
| Bond type: | $294 Surety Bond |