DIA-SON-73

Code
DIA-SON-73
Mercy ID
V-02088-01
Encounter Date
11/03/2005
Last
Diaz
First
Sonia
DOB
05/09/1973
County
Gwinnett
Street
515 Windham Place Cr.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 717-8154
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Other

Spouse Information

Last
Puac
First
Hector
DOB
02/28/1968
Address
N/A
Telephone
N/A
COB
Guatemala
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
YES
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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Cesar I Puac 07/27/2000 Parents GA/USA
Hector M Puac 08/27/2004 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By