GUI-YUS-76

Code
GUI-YUS-76
Mercy ID
V-02540-01
Encounter Date
07/09/2007
Last
Guillen
First
Yusbel
DOB
07/30/1976
County
Gwinnett
Street
3041 Majecti Park Ct.
City
Duluth
State
GA
Zip
30096-
Cell
(404) 957-8486
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Transitional
Education Level
College Degree

Spouse Information

Last
N/A
First
N/A
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
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Angel Linares 10/18/2006 Mother GA/USA

Former Spouse 1 Information

Last
Linares
First
Angel
DOB
10/23/1977
Telephone
N/A
COB
Peru
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana