| Booking number: | 6801203688 |
| Booking date: | Aug 8, 2012 |
| Release date: | Aug 8, 2012 |
| Jail name: | Lynchburg Adult Detention Center |
| Location: | 510 9 St, Lynchburg, VA 24504 |
| Statute: | 18.2-308.2:2 |
| Description: | CRIMINAL HISTORY: FALSE STATEMENT ON CONSENT FORM |
| Offense date: | Feb 3, 2012 |
| Arrest date: | Aug 8, 2012 |
| Bond amount: | $1,000 |