| Date of birth: | Apr 12, 1954 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00107671 |
| Arresting agency: | Peoria County Sheriff's Office |
| Booking number: | 070088128 |
| Booking date: | Feb 16, 1999 |
| Release date: | Feb 17, 1999 |
| Booking location: | Peoria County, IL |
| Warrant: | 97CF00694 |
| Charge: | FRAUD GOVTL ENTITY $300 |