| Booking number: | 190406596 |
| Booking date: | Nov 5, 2004 |
| Release date: | Nov 25, 2004 |
| Jail name: | Bedford Adult Detention Facility |
| Location: | 1000 Broad St, Bedford, VA 24523 |
| Statute: | 18.2-57(A) |
| Description: | HATE CRIME; SIMPLE ASSAULT |
| Case number: | GC04008338-00 |