GON-SAB-71

Code
GON-SAB-71
Mercy ID
V-01349-01
Encounter Date
09/16/2003
Last
Gonzalez
First
Sabrina
DOB
10/27/1971
County
Gwinnett
Street
2757 Menor Glenn Ln.
City
Swanne
State
GA
Zip
30024-
Home
(678) 768-4286
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Gonzalez
First
Jose
Middle
A.
DOB
10/17/1968
Address
N/A
Telephone
N/A
COB
El Salvador
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Josue A. Gonzalez 07/31/2001 Parents GA/USA
Samuel Gonzalez 01/15/1991 Parents 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