| Name | Jacqueline Bettencourt Costa |
|---|---|
| Sex | female |
| Birth Date | July 20, 1993 |
| Death Date | July 30, 1993 |
| Age at Death | 10 days old |
| Birth Place | California |
| Death Place | San Bernardino County, California |
| Mother's Maiden Name | Bettencourt |
| Social Security Number | 000-00-000 |