CAS-SAR-76

Code
CAS-SAR-76
Mercy ID
V-02673-01
Encounter Date
12/14/2007
Last
Castellananos
First
Sara
DOB
09/12/1976
County
Rockdale
Street
1389 Irwin Bridge B
City
Conyers
State
GA
Zip
30012-
Cell
(678) 392-7625
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Cortez
First
Gregorio
DOB
05/09/1971
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
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Jorge L. Cortez 03/03/1995 Parents GA/USA
Rosalva Cortez 07/18/2001 Parents GA/USA
Sarahi Cortez 07/27/1993 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
linea-Juana