CER-MAT-59

Code
CER-MAT-59
Mercy ID
V-00285-01
Encounter Date
09/19/2000
Last
Ceron
First
Natividad
DOB
10/12/1959
County
Gwinnett
Street
1690 Sundale Dr
City
Lawrenceville
State
GA
Zip
30045-
Home
(770) 963-6094
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Zorrolla
First
Francisco
DOB
09/28/1960
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Adelita Zorrilla 03/26/1986 Mother GA/USA
Ambar Zorrilla 04/21/1990 Mother GA/USA
Francisco Zorrilla 01/09/1994 Mother GA/USA
Guadalupe Zrrillo 01/03/1997 Mother GA/USA
Karen Zorrilla 01/22/1993 Mother 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
D. Gomez
Referred By