VAL-BET-52

Code
VAL-BET-52
Mercy ID
V-00583-01
Encounter Date
05/01/2001
Last
Valdivieso
First
Betty
DOB
12/08/1952
County
Dekalb
Street
International Women's House
City
Not given
State
GA
Zip
00000-0000
Home
(404) 298-1550
Family Status
Single adult
COB
Chile
Gender
Female
Housing
Transitional
Education Level
High school graduate

Spouse Information

Last
Valdivieso
First
Carlos
DOB
05/29/1950
Address
3160 Buford Hwy G-2 Atlanta GA 30319
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia