WIL-ELE-65

Code
WIL-ELE-65
Mercy ID
V-00493-01
Encounter Date
02/21/2002
Last
Wilson
First
Elena
DOB
05/14/1965
County
Gwinnett
Street
5769 William Rd.
City
Norcross
State
GA
Zip
30093-
Home
(770) 806-1497
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Wilson
First
Billy
DOB
02/09/1975
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
YES
Consentimiento De Participar
YES

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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Carlos Edgar Renfigo 12/14/1986 Grandmother Colombia
Diego Fernando Wilson 03/18/1999 Parents GA/USA
Rudy Santiago Renfigo 06/19/1989 Grandmother Colombia
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