| Date of birth: | Oct 7, 1942 |
| Hair: | Grey or partially grey |
| Eyes: | Brown |
| SO#: | 00126890 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 071090231 |
| Booking date: | Oct 18, 2004 |
| Release date: | Oct 19, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | VIOLATE ORDER PROTECTION |
| Offense date: | Oct 18, 2004 |
| Charge desposition: | Other |