CAS-FRA-79

Code
CAS-FRA-79
Mercy ID
V-00543-02
Encounter Date
06/19/2001
Last
Castrillo
First
Franklin
DOB
08/17/1979
County
Cobb
Street
415 Cindy Dr.
City
Marietta
State
GA
Zip
30008-
Home
(678) 460-7966
Family Status
Adult coupie-no children
COB
Nicaragua
Gender
Male
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Bravo
First
Cynthia
DOB
12/15/1980
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Nayeli Castrillo 06/17/1999 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Fulton