CAS-VER-73

Code
CAS-VER-73
Mercy ID
V-03375-01
Encounter Date
08/03/2010
Last
Castro
First
Veronica
DOB
04/25/1973
County
Gwinnett
Street
1605 Straw Valley Rd.
City
Larenceville
State
GA
Zip
30043-
Cell
(770) 906-1643
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Geronimo
First
Jesus
DOB
08/18/1972
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
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
Cristopher Geronimo 03/11/2003 Parents GA/USA
Juan Lopez 09/30/1998 Mother w/Stepfather GA/USA
Leslie Geronimo 03/11/2003 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