GON-ELS-66

Code
GON-ELS-66
Mercy ID
V-01488-01
Encounter Date
02/11/2004
Last
Gonzalez
First
Elsa
DOB
05/28/1966
County
Gwinnett
Street
5243 Creek Lane Sugar
City
Buford
State
GA
Zip
30518-
Home
(678) 887-5735
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Longoria
First
Jimmy
DOB
N/A
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
Guillermo Reinecke 12/09/1989 Mother GA/USA
Hazor Gonzalez 08/27/1999 Mother GA/USA
Jose Antonio Reinecke 06/13/1988 Mother GA/USA
Rodolfo Reinecke 05/04/1987 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
x1375 Damaryz