AGU-NAY-77

Code
AGU-NAY-77
Mercy ID
V-02472-01
Encounter Date
04/16/2007
Last
Aguirre
First
Nayeli
DOB
02/21/1977
County
Fulton
Street
1002 Harbor Pointe
City
Roswell
State
GA
Zip
30050-
Cell
(678) 754-1493
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Gutierrez
First
Mario
DOB
N/A
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
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
Betsy Castrejon 08/29/2000 Mother GA/USA
Briant Castrejon 06/20/2002 Mother GA/USA
Cristo Gutierrez 04/19/2007 Mother GA/USA
Jayz Gutierrez 06/22/2005 Mother GA/USA
Jonathan Castrejon 09/15/1997 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
Felipe