| Booking number: | 6800525376 |
| Booking date: | Aug 12, 2005 |
| Release date: | Sep 8, 2005 |
| Jail name: | Lynchburg Adult Detention Center |
| Location: | 510 9 St, Lynchburg, VA 24504 |
| Statute: | 18.2-168 |
| Description: | FORGING PUBLIC RECORDS |
| Statute: | 19.2-306 |
| Description: | REVOCATION OF SUSPENDED SENTENCE AND PROBATION |