CAS-LUC-74

Code
CAS-LUC-74
Mercy ID
V-02555-01
Encounter Date
07/26/2007
Last
Martinez
First
Lucelly
DOB
01/15/1974
County
Fulton
Street
152 Oak St. #-1
City
Roswell
State
GA
Zip
30045-
Cell
(678) 949-8500
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Transitional
Education Level
Grade school

Spouse Information

Last
Castillo
First
Luis
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
YES

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
Jose L. Castillo 08/20/1994 Father w/Stepmother GA/USA
Lucelly Garza 08/11/1993 Mother w/Stepfather GA/USA
Miguel A. Villegas 06/09/1997 Parents 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
J. Manzo
Referred By
Jacqueline