| Date of birth: | Apr 20, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 12492 |
| Booking number: | 28239 |
| Arresting agency: | Constable Pct. 1 |
| Booking date: | Oct 13, 2004 |
| Release date: | Oct 13, 2004 |
| Arresting agency: | Constable Pct. 1 |
| Booking number: | 28239 |
| Booking date: | Oct 13, 2004 |
| Release date: | Oct 13, 2004 |
| Booking location: | Henderson County, TX |
| Jail name: | Henderson County,TX Jail |
| Location: | 206 N Murchison St, Athens, TX 75751 |
| Warrant: | C-13,369 |
| Offense date: | Oct 12, 2004 |
| Issuing authority: | DIST |
| Charge: | FICTITIOUS COUNTERFEIT INSP/INS DOC TO MAKE/POSS |
| Bond type: | $2,000 Surety Bond |
