BET-LET-78

Code
BET-LET-78
Mercy ID
V-02256-01
Encounter Date
05/24/2006
Last
Betancourt
First
Leticia
DOB
09/14/1978
County
Cobb
Street
2078 Cherokee Ridge Trl
City
Kennesaw
State
GA
Zip
30144-
Home
(770) 514-7684
Cell
(678) 895-2439
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Abundis
First
Marco antonio
DOB
04/27/1978
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Brad Abundis 06/07/2005 Parents GA/USA
Karla Fernanda Abundis 10/28/1998 Parents GA/USA
Michael Abundis 01/03/2003 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By
walk in