| Booking number: | 190406058 |
| Booking date: | Jul 16, 2004 |
| Release date: | Jul 21, 2004 |
| Jail name: | Bedford Adult Detention Facility |
| Location: | 1000 Broad St, Bedford, VA 24523 |
| Statute: | 46.2-301 |
| Description: | LICENSE REVOKED-DRIVE WHILE - (FIRST OFFENSE) |
| Case number: | GT03008095-00 |
| Arrest date: | Jul 9, 2004 |