| Booking number: | 190406669 |
| Booking date: | Nov 19, 2004 |
| Release date: | Nov 29, 2004 |
| Jail name: | Bedford Adult Detention Facility |
| Location: | 1000 Broad St, Bedford, VA 24523 |
| Statute: | 46.2-302 |
| Description: | LICENSE REVOKED - NO INSURANCE - DRIVE WHILE (FIRST OFFENSE) |
| Case number: | GT04007791-00 |
| Arrest date: | Nov 19, 2004 |