| Booking number: | 190405805 |
| Booking date: | May 25, 2004 |
| Release date: | Jun 21, 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: | 680 |
| Arrest date: | May 24, 2004 |