COR-JOV-63

Code
COR-JOV-63
Mercy ID
V-00479-01
Encounter Date
04/16/2001
Last
Cortes
First
Jovita
DOB
02/15/1963
County
Gwinnett
Street
555 Gold St.
City
Buford
State
GA
Zip
30518-
Home
(770) 831-7232
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Catalan
First
Gregorio
DOB
05/25/1952
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
Alexander Catalan 10/17/1999 Parents GA/USA
Azucena Catalan 08/29/1989 Parents GA/USA
Diana Catalan 02/22/1987 Parents GA/USA
Edwin Catalan 10/15/1990 Parents GA/USA
Juan Manuel Catalan 09/13/1988 Parents GA/USA
Marisol Catalan 08/31/1984 Parents GA/USA
Patricia Catalan 04/12/1983 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
K. Aleman
Referred By
x7764 Ma. Eugenia