ART-GLO-66

Code
ART-GLO-66
Mercy ID
V-01063-01
Encounter Date
12/24/2002
Last
Artiaga
First
Gloria
DOB
02/11/1966
County
Gwinnett
Street
205 Club Place
City
Duluth
State
GA
Zip
30096-
Home
(678) 584-9283
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless

Spouse Information

Last
Urrego
First
John jairo
DOB
12/04/1965
Address
N/A
Telephone
N/A
COB
Colombia
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
David 04/04/1996 Parents GA/USA
Juan Felipre 06/26/1984 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
x7764 Rebeca