GLE-GON-73

Code
GLE-GON-73
Mercy ID
V-00899-01
Encounter Date
04/23/2002
Last
Gonzalez
First
Glenda
DOB
08/06/1973
County
Gwinnett
Street
1126 Woodigton Cr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 840-8239
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Castro
First
Ulises
DOB
12/01/1970
Address
N/A
Telephone
N/A
COB
Guatemala
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Carmen Zuleyma Parra 11/02/1990 Mother GA/USA
Emely Parra 01/02/1996 Mother GA/USA
Marlon Parra 04/26/1993 Mother GA/USA
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
x7764 Rebecca