BET-LYN-59

Code
BET-LYN-59
Mercy ID
B-00048-01
Encounter Date
05/21/1998
Last
Betancourt
First
Lynnette
DOB
06/05/1959
County
Other
Street
4391 Highland
City
Decatur
State
GA
Zip
30035-
Home
(404) 286-4021
Family Status
Unknow/Unreported
COB
Puerto Rico
Gender
Female
Housing
Other
Education Level
Other

Spouse Information

Last
Cruz
First
Pedro
DOB
06/26/1956
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
No
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
Kaliomara Cruz N/A N/A GA/USA
Pedro Cruz N/A N/A GA/USA
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