CAS-JES-65

Code
CAS-JES-65
Mercy ID
V-00012-02
Encounter Date
03/11/1998
Last
Castañeda
First
Jesus
DOB
04/26/1965
County
Gwinnett
Street
1100 Indian Trail Apt. 1828
City
Norcross
State
GA
Zip
30093-
Home
(404) 633-9290
Family Status
Single parent w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
Jackelyn Castañeda N/A Mother GA/USA
Jesse Castañeda N/A Mother GA/USA
Pedro Castañeda N/A Mother GA/USA

Former Spouse 1 Information

Last
Castañeda
First
Maria
DOB
02/25/1967
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

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