BET-LUZ-71

Code
BET-LUZ-71
Mercy ID
V-00797-01
Encounter Date
01/16/2002
Last
Betancur
First
Luz
DOB
10/20/1971
County
Gwinnett
Street
670 Rose Hill Lane
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 979-5149
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Noriega
First
Armando
DOB
04/04/1966
Address
N/A
Telephone
N/A
COB
Colombia
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
YES

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
Luis Armando Noriega 05/01/1994 Parents GA/USA
Tommy Alexander Noriega 10/12/1995 Parents 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