CAR-GAB-70

Code
CAR-GAB-70
Mercy ID
V-01800-01
Encounter Date
01/06/2005
Last
Cardosa
First
Gabriela
DOB
08/25/1970
County
Gwinnett
Street
301 Willow Tr.
City
Norcross
State
GA
Zip
30093-
Cell
(678) 924-0918
Family Status
Two parent family w/children
COB
Uruguay
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Mesa
First
Leonardo
DOB
09/02/1969
Address
N/A
Telephone
N/A
COB
Uruguay
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
YES
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
Jonathan Olivera 09/12/1991 Mother w/Stepfather GA/USA
Leonardo Masa 03/05/2001 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
K. Aleman
Referred By