GUE-MAU-54

Code
GUE-MAU-54
Mercy ID
V-01159-01
Encounter Date
03/19/2003
Last
Guerrero
First
Maureen
DOB
06/03/1954
County
Gwinnett
Street
5648 Charmaene Bend
City
Norcross
State
GA
Zip
30071-
Home
(770) 326-6305
Family Status
Adult coupie-no children
COB
Costa Rica
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Rivera
First
Adrian
DOB
09/22/1967
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
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
Guadalupe Escalante N/A Adulto/Casado New Jersey
Roddy Escalante N/A Adulto/Soltero Costa Rica
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
x3737 Damaryz