| Date of birth: | Nov 2, 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00125478 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 071011056 |
| Booking date: | May 4, 2004 |
| Release date: | May 6, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | RESIST/PEACE OFFICER/CORR EMP |
| Offense date: | May 4, 2004 |
| Charge desposition: | Other |
| Charge: | AGG BATTERY/GREAT BODILY HARM |
| Offense date: | May 4, 2004 |
| Charge desposition: | Other |