CAS-JAC-75

Code
CAS-JAC-75
Mercy ID
V-02390-01
Encounter Date
01/09/2007
Last
Castro
First
Jacqueline
DOB
06/15/1975
County
Gwinnett
Street
1893 Guardian Way
City
Lawrenceville
State
GA
Zip
30043-
Cell
(678) 508-6291
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Transitional
Education Level
High school graduate

Spouse Information

Last
Vivas
First
Juan
DOB
N/A
Address
N/A
Telephone
N/A
COB
Nicaragua
Home Owner
YES
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
YES

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
Andrey Castro 08/25/1991 Mother GA/USA
Dayanara Gonzalez 08/05/2002 Mother GA/USA
Gouglas Castro 02/18/1994 Mother GA/USA
Juan Parra 07/19/2005 Mother GA/USA
Lorenzo Castro 08/25/2000 Mother 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
J. Manzo
Referred By
linea- Griselda