| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 126229 |
| Arresting agency: | Roanoke Police Department |
| Booking number: | 331977 |
| Booking date: | Apr 14, 2004 |
| Release date: | Apr 14, 2004 |
| Booking location: | Denton County, TX |
| Warrant: | 04-331977 |
| Offense date: | Apr 13, 2004 |
| Issuing authority: | RPD |
| Charge: | TAMPER W/GOVERNMENT RECORD LIC/SEAL/CERTIF/PERM |
| Bond type: | $2,000 Surety Bond |