AYA-FRA-44

Code
AYA-FRA-44
Mercy ID
V-01290-01
Encounter Date
07/18/2003
Last
Ayarza
First
Francisca
DOB
12/04/1944
County
Gwinnett
Street
6697 Grave Mill Dr.
City
Norcross
State
GA
Zip
30093-
Home
(770) 939-9603
Family Status
Single parent w/children
COB
Panamá
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Castendet
First
Arturo
DOB
01/26/1945
Address
N/A
Telephone
N/A
COB
Panamá
Home Owner
No
Driver
No
Home Owner
YES
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
YES
Stranger
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
x3737 Damaryz