SER-JOS-77

Code
SER-JOS-77
Mercy ID
V-01795-02
Encounter Date
12/28/2004
Last
Serrato
First
Jose julian
DOB
09/29/1977
County
Gwinnett
Street
3214 Valley Blass Dr.
City
Doraville
State
GA
Zip
30340-
Home
(404) 969-9837
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Gildo
First
Amalia
DOB
03/28/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
Francisco Abarca N/A Mother GA/USA
Luis Abarca N/A Mother GA/USA
Marianna Serrato 07/29/2002 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
K. Aleman
Referred By
Gwinnett