| Hair: | Unknown or bald |
| Eyes: | Brown |
| SO#: | 68213 |
| Arresting agency: | San Angelo Police Department |
| Booking number: | 291923 |
| Booking date: | Sep 3, 2004 |
| Release date: | Sep 3, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | 04-M01638 |
| Offense date: | Sep 3, 2004 |
| Issuing authority: | TOM GREEN |
| Fine or court cost: | $147 |
| Charge: | PUBLIC INTOXICATION |
| Bond type: | $294 Surety Bond |