PAS-OFE-73

Code
PAS-OFE-73
Mercy ID
V-03101-01
Encounter Date
06/23/2009
Last
Pastor
First
Ofelia
DOB
04/02/1973
County
Gwinnett
Street
219 Meadowlark Place
City
Lawrenceville
State
GA
Zip
30044-
Cell
(678) 603-7537
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
Enmanuel Castillo 02/24/2000 Mother GA/USA
Karen Castillo 03/22/2001 Mother GA/USA
Perdro Castillo 06/29/1997 Mother GA/USA

Former Spouse 1 Information

Last
Castillo
First
Pedro
DOB
N/A
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
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana