ELO-CON-73

Code
ELO-CON-73
Mercy ID
V-02833-01
Encounter Date
06/27/2008
Last
Elorza
First
Constantina
DOB
03/11/1973
County
Gwinnett
Street
2874 Wildflower Lane
City
Snellville
State
GA
Zip
30039-
Cell
(678) 499-9670
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Gonzalez
First
Eusebio
DOB
06/27/1970
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
YES
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
Abisai Gonzalez 06/14/1999 Parents GA/USA
Ariana Elorza 03/03/1994 Mother w/Stepfather GA/USA
Griselda Gonzalez 03/02/2002 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