| Booking number: | 310406050 |
| Booking date: | Jun 28, 2004 |
| Release date: | Jul 3, 2004 |
| Jail name: | Campbell County Detention Center |
| Location: | 90 Courthouse Ln, Rustburg, VA 24588 |
| Statute: | 46.2-301 |
| Description: | LICENSE REVOKED-DRIVE WHILE - (FIRST OFFENSE) |
| Case number: | T04-2961 |
| Arrest date: | May 7, 2004 |