| Date of birth: | 1943 |
| Hair: | No selection |
| Eyes: | No selection |
| Registration: | 849580 |
| Arresting agency: | Rockford IL Police Department |
| Booking location: | Winnebago County, IL |
| Details: | AGGRAVATED CRIMINAL SEXUAL ABUSE/VICTIM |
| Description: | 9999 - OTHER CRIME |
| Charges: | N/A |