CAB-MAR-73

Code
CAB-MAR-73
Mercy ID
V-03394-01
Encounter Date
08/23/2010
Last
Cabrera
First
Maria agustina
DOB
08/20/1973
County
Colquitt
Street
657 Circle Rd.
City
Moultrie
State
GA
Zip
31768-
Cell
(229) 337-6136
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Child, not in school

Spouse Information

Last
Gonzalez
First
Octavio
DOB
05/07/1983
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
Basni Mendez 03/05/1998 Grandparents Paternos
Brayan Gonzalez 12/12/2006 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
Julia