GOM-GUA-83

Code
GOM-GUA-83
Mercy ID
V-02768-01
Encounter Date
04/23/2008
Last
Gomez
First
Guadalupe
DOB
07/20/1983
County
Gwinnett
Street
2004 Marsh Creek Dr.
City
Lawrenceville
State
GA
Zip
30043-
Cell
(678) 538-8496
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Figueroa
First
Edgar
DOB
01/16/1984
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
YES
Consentimiento De Participar
YES

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
Edgar Figueroa 02/02/2006 Mother GA/USA
Juanie Armanza 09/12/2001 Grandmother GA/USA-Materna
Marylizeth Figueroa 03/21/1990 Grandmother GA/USA-Paterna
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