| Date of birth: | Oct 22, 1953 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 117381 |
| Arresting agency: | Brazoria County Sheriff's Office |
| Booking number: | 66953 |
| Booking date: | May 20, 2004 |
| Release date: | May 20, 2004 |
| Booking location: | Brazoria County, TX |
| Warrant: | HJ004973 |
| Offense date: | May 20, 2004 |
| Issuing authority: | 4-2 |
| Charge: | ASSAULT F/V |
| Bond type: | $500 Bail Bond |