OVA-LET-76

Code
OVA-LET-76
Mercy ID
V-03190-01
Encounter Date
10/07/2009
Last
Ovando
First
Leticia
DOB
09/15/1976
County
Gwinnett
Street
402 Willow Trail
City
Norcross
State
GA
Zip
30093-
Cell
(404) 421-2836
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Single Family
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
Isaac Fuentes 03/30/1997 Mother GA/USA
Misael Fuentes 08/01/2001 Father Mexico
Samuel A. Fuentes 12/29/1998 Father Mexico

Former Spouse 1 Information

Last
Fuentes
First
Hector
DOB
05/27/1965
Telephone
N/A
COB
Mexico
Home Owner
YES
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
linea-Juana