SAU-VER-63

Code
SAU-VER-63
Mercy ID
V-00505-01
Encounter Date
08/30/2002
Last
Saucedo
First
Veronica
DOB
10/23/1963
County
Gwinnett
Street
1069 Sparrow Court
City
Norcross
State
GA
Zip
30093-
Home
(770) 717-9975
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Martinez
First
Jose
DOB
03/09/1967
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
YES
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
JocelynMartinez 03/19/1995 Parents GA/USA
Merar Caridad N/A Grandmother Guatemala
Nidia Gisela Saucedo N/A Grandmother guatemala
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
Meadow Creek Elementary