| Date of birth: | Sep 14, 1945 |
| Hair: | Grey or partially grey |
| Eyes: | Green |
| SO#: | 00124419 |
| Arresting agency: | Peoria County Sheriff's Office |
| Booking number: | 070950369 |
| Booking date: | Dec 19, 2003 |
| Release date: | Dec 21, 2003 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | DOMESTIC BATTERY |
| Offense date: | Dec 19, 2003 |
| Charge desposition: | Other |
| Charge: | INTERF REPT DOMESTIC VIOLENCE |
| Offense date: | Dec 19, 2003 |
| Charge desposition: | Other |