CAL-ELI-74

Code
CAL-ELI-74
Mercy ID
V-00129-01
Encounter Date
02/09/2000
Last
Calvillo
First
Elizabeth
DOB
02/27/1974
County
Gwinnett
Street
2601 Tree House Pkway
City
Norcross
State
GA
Zip
30093-
Home
(678) 380-9440
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Rodriguez
First
Hugo
DOB
11/05/1975
Address
same
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
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
Chrystal Calvillo 11/14/1990 Mother w/Stepfather GA/USA
Sergio Calvillo 02/09/1993 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Herrera
First
Fernando
DOB
08/12/1974
Telephone
N/A
COB
N/A
Home Owner
No
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