PIÑ-LAU-71

Code
PIÑ-LAU-71
Mercy ID
V-00453-01
Encounter Date
06/27/2001
Last
Piñon
First
Laura
DOB
04/14/1970
County
Gwinnett
Street
625 Field Good Lane
City
Alpharetta
State
GA
Zip
00000-0000
Home
(000) 000-0000
Cell
(000) 000-0000
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Torres
First
Javier
DOB
N/A
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
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
Arturo Enrique Villera N/A N/A GA/USA
Michelle Azaveth Callahan 07/14/1992 Grandmother Mexico
William Jason Callahan 12/10/1995 Grandmother Mexico
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