SAN-JUA-70

Code
SAN-JUA-70
Mercy ID
V-02329-01
Encounter Date
09/18/2006
Last
Sanchez
First
Juana de jesus
DOB
03/27/1970
County
Gwinnett
Street
1695 Graves Rd. Apt. 801
City
Norcorss
State
GA
Zip
30093-
Home
(770) 676-9074
Cell
(770) 882-8924
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Silvestre
First
Mario
DOB
02/02/1965
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
No
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
Alex Silvestre 04/02/1991 Parents GA/USA
Britany Silvestre 08/04/2006 Parents GA/USA
Mildred Silvestre 08/01/1993 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Clinica Duluth