GON-PAT-80

Code
GON-PAT-80
Mercy ID
V-02854-01
Encounter Date
07/18/2008
Last
Gonzalez
First
Patricia
DOB
09/26/1980
County
Gwinnett
Street
2648 Hamriz
City
Norcross
State
GA
Zip
30071-
Cell
(404) 468-6433
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Gonzalez
First
Jose
DOB
01/19/1970
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
YES
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
Alexis Gonzalez 03/19/2003 Mother GA/USA
Christian Gonzalez 01/29/1994 Steptmother GA/USA
Edgar Gonzalez 11/20/2000 Mother GA/USA
Naydelin Gonzalez 09/25/2006 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
Don Coleman-ALA