CUM-GLO-71

Code
CUM-GLO-71
Mercy ID
V-02230-01
Encounter Date
04/23/2006
Last
Cumatz
First
Gloria
DOB
03/02/1971
County
Gwinnett
Street
1202 Gwinnett Square Cr
City
Duluth
State
GA
Zip
30096-
Home
(770) 248-4396
Cell
(770) 882-9849
Other
(770) 256-4277
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Zacarias
First
Juan
DOB
12/15/1979
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
YES
Gwinnett
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Andy I Zacarias 11/05/2000 Parents GA/USA
Angel G Acalon 03/24/1993 Grandparents Guatemala
Cristian M Acalon 01/09/1991 Grandparents Guatemala
Erica Y Acalon 01/11/1989 N/A GA/USA
Fredy A Acalon 09/21/1988 Grandparents Guatemala
Kelvin V Acalon 05/05/1996 Grandparents Guatemala
Marley Zacarias 10/25/1999 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
DFCS Gwinnett