GON-MAR-67

Code
GON-MAR-67
Mercy ID
V-00360-01
Encounter Date
12/12/2000
Last
Gonzalez
First
Martha
DOB
02/23/1967
County
Fulton
Street
2441 morosgo w apt-d
City
Atlanta
State
GA
Zip
30324-
Home
(404) 239-0746
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Platero
First
Cornelio
DOB
02/28/1967
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
YES
Consentimiento De Participar
YES

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
Arisbet Platero 12/21/1976 Grandmother GA/USA
Cristian Plareo 06/03/1996 Grandmother GA/USA
Lizbeth Platero 01/29/1990 Grandmother GA/USA
Omar Platero 01/12/1975 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
D. Gomez
Referred By