CAS-MAT-62

Code
CAS-MAT-62
Mercy ID
V-00292-01
Encounter Date
09/25/2000
Last
Castillo
First
Marta
DOB
05/18/1962
County
Cobb
Street
4650 Rambling Rd
City
Kenne
State
GA
Zip
30144-
Home
(770) 592-5350
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Castillo
First
Lorenzo
DOB
10/11/1961
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
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
Diego Castillo 02/02/1984 Parents GA/USA
Lenin Castillo 12/19/1982 Parents GA/USA
Lorenzo Castillo 10/05/1991 Parents GA/USA
Marcela Castillo 12/27/1996 Parents GA/USA
Viana Castillo 12/25/1987 Parents GA/USA
NOTES

Media Authoritation

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