| Date of birth: | Feb 9, 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 116164 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 62897 |
| Booking date: | Feb 7, 2004 |
| Release date: | Feb 8, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | CJ040096 |
| Issuing authority: | 2/1 |
| Fine or court cost: | $200 |
| Charge: | ASSAULT |