GON-SON-69

Code
GON-SON-69
Mercy ID
V-02051-01
Encounter Date
09/15/2005
Last
Gonzalez
First
Sonia
DOB
05/02/1969
County
Henry
Street
504 Townsend Bend
City
Stockbridge
State
GA
Zip
30281-
Home
(678) 565-0996
Cell
(404) 713-0985
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Fambro
First
Timotti
DOB
N/A
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
Ernesto Gonzalez 04/02/2007 Mother w/Stepfather GA/USA
Maria Cruz Gonzalez 10/22/2000 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

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