| Date of birth: | Jan 29, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00126988 |
| Arresting agency: | City of Peoria Police Department |
| Booking number: | 071095128 |
| Booking date: | Oct 30, 2004 |
| Release date: | Oct 30, 2004 |
| Jail name: | Peoria County Jail |
| Location: | 301 N Maxwell Rd, Peoria, IL 61604 |
| Charge: | CONTRIBUTE/DELINQUENCY/CHILD |
| Offense date: | Oct 29, 2004 |
| Charge desposition: | Other |
| Charge: | GIVE/SELL LIQUOR TO MINOR |
| Offense date: | Oct 29, 2004 |
| Charge desposition: | Other |
| Charge: | PARENT PERMIT USE OF RESIDENCE |
| Offense date: | Oct 29, 2004 |
| Charge desposition: | Other |