| Date of birth: | Mar 3, 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00125980 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 071039309 |
| Booking date: | Jul 1, 2004 |
| Release date: | Jul 1, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | POSSESS DRUG PARAPHERNALIA |
| Offense date: | Jun 30, 2004 |
| Charge desposition: | Other |