REI-YAN-68

Code
REI-YAN-68
Mercy ID
V-02034-01
Encounter Date
09/14/2005
Last
Reinosa despinosa
First
Yanet
DOB
08/20/1968
County
Gwinnett
Street
805 Lawndale Ct.
City
Norcross
State
GA
Zip
30093-
Cell
(770) 369-1722
Family Status
Single parent w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
Other

Spouse Information

Last
Espinosa
First
Manuel
DOB
07/29/1961
Address
ex husband
Telephone
N/A
COB
Dominican Rep
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
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
Jaime Espinosa 07/02/1996 Mother GA/USA
Robel Espinosa 09/19/1992 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
Volunteer
Data Entry
R. Gonzalez
Referred By