BET-JUL-78

Code
BET-JUL-78
Mercy ID
V-02022-01
Encounter Date
08/24/2005
Last
Betancourt
First
Juliana
DOB
07/22/1978
County
Gwinnett
Street
525 Ridgebrook Trail
City
Duluth
State
GA
Zip
30096-
Cell
(404) 207-2138
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Toledo
First
Ariel
DOB
11/15/1976
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
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
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
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
Volunteer
Data Entry
K. Aleman
Referred By