RES-MIG-79

Code
RES-MIG-79
Mercy ID
V-00012-03
Encounter Date
02/15/2000
Last
Resendis
First
Miguel
DOB
10/01/1979
County
Gwinnett
Street
5376 Stanford Village Lane
City
Norcross
State
GA
Zip
30071-
Home
(770) 209-9005
Cell
(770) 527-0309
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Castañeda
First
Maria
DOB
02/25/1967
Address
5376 Standford Village Lane
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
Jackeline Castañeda 07/14/1989 Mother w/Stepfather GA/USA
Jessie Castañeda 04/29/1986 Mother w/Stepfather GA/USA
Pedro Antonio Castañeda 08/24/1998 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
K. Aleman
Referred By