| Date of birth: | Aug 19, 1936 |
| Hair: | Grey or partially grey |
| Eyes: | Blue |
| SO#: | 00080847 |
| Arresting agency: | Peoria County Sheriff's Office |
| Booking number: | 068838816 |
| Booking date: | Jun 28, 1991 |
| Release date: | Jun 28, 1991 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | DRVG UNDER INFLU OF ALCOHOL |
| Charge desposition: | Other |
| Charge: | REFUSE TEST/11-501.1 |
| Charge desposition: | Other |
| Charge: | FAILED TO SIGNAL/IMPROP SIGNAL |
| Charge desposition: | Other |