| Date of birth: | Feb 2, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 00124175 |
| Arresting agency: | Peoria Heights Police Department |
| Booking number: | 070937478 |
| Booking date: | Nov 19, 2003 |
| Release date: | Nov 20, 2003 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Jail name: | Johnson County Jail |
| Location: | 27745 W 159 St., New Century, KS 66031 |
| Charge: | FALSE REPORT OF OFFENSE |
| Offense date: | Nov 18, 2003 |
| Charge desposition: | Other |
| Charge: | Disorderly Conduct |
| Offense date: | Nov 18, 2003 |
| Charge desposition: | Other |