LEO-BRA-02

Code
LEO-BRA-02
Mercy ID
V-00636-22
Encounter Date
01/07/2005
Last
Leon
First
Brayon
DOB
04/09/2002
County
Gwinnett
Street
2290 Heatherton Circle
City
Dacula
State
GA
Zip
30019-
Home
(770) 962-1286
Family Status
Attached youth
COB
Colombia
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

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