| Date of birth: | Dec 19, 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 60804 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 73293 |
| Booking date: | Oct 27, 2004 |
| Release date: | Oct 28, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | FJS2201 |
| Issuing authority: | JP 3/2 |
| Fine or court cost: | $250 |
| Charge: | PI |