| Date of birth: | May 1, 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00125722 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 071024379 |
| Booking date: | May 30, 2004 |
| Release date: | May 30, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | RET THEFT/DISP MERCH/<$150/1ST |
| Offense date: | May 30, 2004 |
| Charge desposition: | Other |
