| Booking number: | 190405776 |
| Booking date: | May 19, 2004 |
| Release date: | Jun 24, 2004 |
| Jail name: | Bedford Adult Detention Facility |
| Location: | 1000 Broad St, Bedford, VA 24523 |
| Statute: | 18.2-57.2(A) |
| Description: | SIMPLE ASSAULT, AGAINST FAMILY MEMBER |
| Case number: | 009 |
| Statute: | 18.2-266 |
| Description: | THIRD CONVICTION WITHIN 10 YEARS |
| Case number: | CR04007033-00 |