BAU-GUA-69

Code
BAU-GUA-69
Mercy ID
V-00005-01
Encounter Date
01/26/2000
Last
Bautista
First
Guadalupe
DOB
12/12/1969
County
Dekalb
Street
130 surrey cir Apt T-4
City
Chamblee
State
GA
Zip
30341-
Home
(770) 220-0461
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Albiter
First
Pedro
DOB
06/29/1964
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
emeterio albiter 08/12/1991 Mother GA/USA
lupita albiter 11/20/1996 Mother GA/USA
maria albiter 05/17/1990 Mother GA/USA
pedro albiter 07/18/1998 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