| Booking number: | 190405829 |
| Booking date: | May 29, 2004 |
| Release date: | May 29, 2004 |
| Jail name: | Bedford Adult Detention Facility |
| Location: | 1000 Broad St, Bedford, VA 24523 |
| Statute: | 18.2-57(C) |
| Description: | SIMPLE ASSAULT ON LAW ENFORCEMENT, DOC, FIRE/RESCUE PERSONNEL |
| Arrest date: | May 29, 2004 |