GOL-DUL-68

Code
GOL-DUL-68
Mercy ID
V-02564-01
Encounter Date
08/02/2007
Last
Gold
First
Dulce
DOB
08/08/1968
County
Gwinnett
Street
2843 Way azalea
City
Buford
State
GA
Zip
30519-
Cell
(678) 492-0073
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical

Spouse Information

Last
Gold
First
Dana
DOB
06/04/1965
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
YES
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
Javier A. Reyes 01/24/1992 Grandmother GA/USA
Julia Ester Gold 12/28/2004 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
linea