SUT-ELI-66

Code
SUT-ELI-66
Mercy ID
V-02140-01
Encounter Date
01/13/2006
Last
Sutherland
First
Elizabeth
DOB
05/14/1966
County
Gwinnett
Street
5477 River Side
City
Sugar hill
State
GA
Zip
30518-
Home
(770) 653-9971
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Menacho
First
Rafael
DOB
06/30/1969
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Doly Cuevas 12/14/1991 Parents GA/USA
Edwin Cuevas 01/05/1993 Parents GA/USA
Sandra Menacho 03/20/2001 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
Fabiola Gomez