| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 67568 |
| Arresting agency: | Texas Alcohol & Beverage Commission |
| Booking number: | 289800 |
| Booking date: | Jun 10, 2004 |
| Release date: | Jun 11, 2004 |
| Booking location: | Tom Green County, TX |
| Warrant: | REFUSED |
| Offense date: | Jun 10, 2004 |
| Issuing authority: | TOM GREEN |
| Charge: | DRIVER LICENSE/ID FALSE |
| Bond type: | $500 Surety Bond |