PIN-GIL-60

Code
PIN-GIL-60
Mercy ID
V-00269-02
Encounter Date
08/23/2000
Last
Pineda
First
Gilberto
DOB
04/06/1960
County
Other
Street
n/a
City
n/a
State
GA
Zip
00000-
Family Status
Single adult
COB
Guatemala
Gender
Male
Housing
Other
Education Level
Other

Spouse Information

Last
Pineda
First
Gilberto
DOB
12/08/1961
Address
separados
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
Erik Pineda 06/10/1988 Mother GA/USA
Felicita Pineda 10/21/1994 Mother GA/USA
Gilberto Pineda 05/19/1987 Mother GA/USA
Juan Pineda 06/21/1996 Mother GA/USA
Willian Pineda 12/16/1979 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
D. Gomez
Referred By