REY-GER-63

Code
REY-GER-63
Mercy ID
V-01832-01
Encounter Date
02/11/2005
Last
Reyes
First
Gertrudis
DOB
04/10/1963
County
Gwinnett
Street
2503 Preston Lake Dr.
City
Tucker
State
GA
Zip
30084-
Home
(770) 374-9109
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Dinis
First
George
DOB
05/30/1970
Address
N/A
Telephone
N/A
COB
USA
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
YES
Consentimiento De Participar
YES

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
Dilia Julissa Feliciano 10/29/1986 Aunt Italia
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
LAA y Damaryz