TRE-MAR-78

Code
TRE-MAR-78
Mercy ID
V-02927-01
Encounter Date
10/28/2008
Last
Trejo
First
Maria de la luz
DOB
11/11/1978
County
Gwinnett
Street
1168 Osceola Court
City
Tucker
State
GA
Zip
30084-
Cell
(678) 357-6352
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Alonso
First
Amador
DOB
04/06/1979
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
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
YES
Stay Away Condition
No
Mutual
No
Driver
YES
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
Bryant Alonzo 12/07/2007 Mother GA/USA
Maria D. Trejo 06/29/1995 Grandmother Materna
Maria G. Trejo 10/23/1997 Grandmother Materna

Former Spouse 1 Information

Last
Alpizar
First
Luis
DOB
12/11/1987
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
C. Collier
Referred By
linea-Juana