ROB-BRE-85

Code
ROB-BRE-85
Mercy ID
V-02908-01
Encounter Date
10/13/2008
Last
Robles
First
Brenda
DOB
11/22/1985
County
Gwinnett
Street
1022 Leubell Creek Road
City
Sugar hill
State
GA
Zip
30518-
Cell
(678) 469-5372
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Campos
First
Luis
DOB
03/25/1983
Address
N/A
Telephone
N/A
COB
El Salvador
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
Jefferson Robles 03/15/2007 Parents GA/USA
Luis A. Robles 03/30/2006 Parents GA/USA
Stacy N. Robles 03/05/2008 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-Gris