GON-ELV-61

Code
GON-ELV-61
Mercy ID
V-00077-01
Encounter Date
07/07/1999
Last
Gonzales
First
Elvira
DOB
06/25/1961
County
Not given
Street
3354 Burk Dr. Apt. 49
City
Chamblee
State
GA
Zip
30341-
Home
(770) 458-6379
Family Status
Two parent family w/children
COB
Mexico
Gender
Female

Spouse Information

Last
Gonzalez
First
Francisco
DOB
12/30/1969
Address
3354 Burk Dr. Apt. 49
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
No
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
Ariel Lubiano 03/08/1989 Parents GA/USA
Briceida Lubiano 01/11/1993 Parents GA/USA
Raul Lubiano 06/22/1990 Parents GA/USA
Rosalinda Lubiano 10/31/1991 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
Y. Garcia
Referred By