| Date of birth: | Feb 27, 1942 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00106829 |
| Arresting agency: | Peoria County Sheriff's Office |
| Booking number: | 07004645X |
| Booking date: | Nov 13, 1998 |
| Release date: | Nov 13, 1998 |
| Booking location: | Peoria County, IL |
| Charge: | BATTERY/CAUSE BODILY HARM |