GON-MAR-68

Code
GON-MAR-68
Mercy ID
V-02841-01
Encounter Date
07/03/2008
Last
Gonzalez
First
Mariela
DOB
08/29/1968
County
Gwinnett
Street
229 Kylman
City
Lilburn
State
GA
Zip
30047-
Cell
(404) 246-2942
Work
(770) 458-8277
Family Status
Two parent family w/children
COB
Chile
Gender
Female
Housing
Single Family
Education Level
College Degree

Spouse Information

Last
Guzman
First
Hiram
DOB
12/11/1967
Address
N/A
Telephone
N/A
COB
Puerto Rico
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
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
Francisco Hauyon N/A N/A GA/USA
Geraldine Hauyon N/A N/A GA/USA
Katherine Hauyon N/A N/A 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
policia