CRU-ERI-75

Code
CRU-ERI-75
Mercy ID
V-01858-01
Encounter Date
03/21/2005
Last
Cruz
First
Eribertha
DOB
11/01/1975
County
Gwinnett
Street
2404 Park Colony Dr.
City
Norcross
State
GA
Zip
30093-
Cell
(404) 664-8347
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Aquino
First
Edwin
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
YES
Consentimiento De Participar
YES

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
Eriberto Morales 06/06/1999 Sister Mexico
Genaro Morales 11/05/1995 Sister Mexico
Yesica Morales 05/17/1993 Sister Mexico
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