CRU-MAR-57

Code
CRU-MAR-57
Mercy ID
V-00091-01
Encounter Date
07/25/2001
Last
Cruthers
First
Maria
DOB
02/12/1957
County
Gwinnett
Street
990 Eagle Point Dr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 376-0293
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Cruthers
First
David
DOB
08/09/1954
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
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
mathew cruthers 01/21/1994 Parents GA/USA
paul londoño 02/26/1978 Aunt 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
D. Gomez
Referred By