GUI-LES-74

Code
GUI-LES-74
Mercy ID
V-01837-01
Encounter Date
02/21/2005
Last
Guitrao
First
Lesbi
DOB
02/16/1974
County
Gwinnett
Street
6326 Shesnuth Green Dr.
City
Norcross
State
GA
Zip
30071-
Home
(770) 242-3933
Family Status
Adult coupie-no children
COB
Nicaragua
Gender
Female
Housing
Transitional
Education Level
High school graduate

Spouse Information

Last
Martinez
First
Victor
DOB
06/15/1971
Address
N/A
Telephone
N/A
COB
Guatemala
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Adriana Martinez 06/20/2001 Grandparents Guatemala
Michell S. Moreno 03/29/1994 Grandparents Nicaragua
Victor Martinez 10/14/2003 Grandparents Guatemala
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By