| Booking number: | 311117132 |
| Booking date: | Feb 16, 2011 |
| Release date: | Jul 31, 2011 |
| Jail name: | Campbell County Detention Center |
| Location: | 90 Courthouse Ln, Rustburg, VA 24588 |
| Statute: | 18.2-308.2:2(K) |
| Description: | FALSE STATEMENTS ON CONSENT FORM |
| Case number: | CR10000248-00 |
| Arrest date: | Feb 16, 2011 |