LEO-NAN-64

Code
LEO-NAN-64
Mercy ID
V-01556-01
Encounter Date
04/06/2004
Last
Leon
First
Nancy
DOB
01/20/1964
County
Gwinnett
Street
3450 Breking Ridge Blvd. Apt 26
City
Duluth
State
GA
Zip
30096-
Home
(770) 923-7677
Family Status
Two parent family w/children
COB
Ecuador
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Austein
First
Charles
DOB
02/21/1972
Address
N/A
Telephone
N/A
COB
Puerto Rico
Home Owner
YES
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
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Chalene Figueroa 10/01/1992 Mother w/Stepfather GA/USA
Sabania Austein 03/13/1999 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