MAR-MAR-73

Code
MAR-MAR-73
Mercy ID
V-00636-01
Encounter Date
08/03/2001
Last
Leon
First
Maritza
DOB
04/16/1973
County
Gwinnett
Street
2290 Heatherton Circle
City
Dacula
State
GA
Zip
30019-
Home
(770) 962-1286
Cell
(404) 396-5979
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Leon
First
Jose
DOB
09/03/1962
Address
N/A
Telephone
N/A
COB
Colombia
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
Andres Leon 12/07/1989 Parents GA/USA
Bryan Leon 04/09/2002 Parents GA/USA
Isabely Leon 05/22/2000 Parents GA/USA
NOTES
When she initially came to the program she said her partner's name was Jose Hever; the children's last names were also Hever. Now in 2004 she changed to Leon.

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
x7764 Rebecca/x3737 Damaryz in 2003