| Date of birth: | Jan 13, 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00124709 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 070965064 |
| Booking date: | Jan 24, 2004 |
| Release date: | Jan 25, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | DOMESTIC BATTERY |
| Offense date: | Jan 24, 2004 |
| Charge desposition: | Other |
| Charge: | CRIM TRESPASS TO RESIDENCE |
| Offense date: | Jan 24, 2004 |
| Charge desposition: | Other |