Code
BAR-LET-68
Mercy ID
V-03320-01
Encounter Date
05/06/2010
Last
Bardecio
First
Leticia
DOB
11/16/1968
County
Gwinnett
Street
999 no la quiso dar
City
Lawrenceville
State
GA
Zip
99999-
Cell
(678) 886-4475
Family Status
Two parent family w/children
COB
Uruguay
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Castro
First
Alejandro
DOB
05/23/1968
Address
N/A
Telephone
N/A
COB
Uruguay
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Valentina Castro 05/12/2009 Parents GA/USA
Victoria Castro 03/06/1998 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-Juana