| Date of birth: | Apr 17, 1951 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00125570 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 071016368 |
| Booking date: | May 15, 2004 |
| Release date: | May 15, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | DOMESTIC BATTERY |
| Offense date: | May 14, 2004 |
| Charge desposition: | Other |
