GUZ-LUI-80

Code
GUZ-LUI-80
Mercy ID
V-03478-01
Encounter Date
11/22/2010
Last
Guzman
First
Luisa
DOB
08/11/1980
County
Dekalb
Street
9999Nola quiso dae
City
Doville
State
GA
Zip
30340-
Cell
(678) 755-9105
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Guillermo
DOB
02/10/1982
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
Adriyana Garcia 03/21/2010 Parents GA/USA
Alvaro Guzman 07/31/1997 Mother w/Stepfather GA/USA
Paola Guzman 01/17/2002 Mother w/Stepfather GA/USA
Yasmin Garcia 08/10/2004 Parents GA/USA
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