ESP-ADR-82

Code
ESP-ADR-82
Mercy ID
V-02588-01
Encounter Date
09/12/2007
Last
Espino
First
Adriana
DOB
01/27/1982
County
Gwinnett
Street
1180 Avalon Drive
City
Lawrenceville
State
GA
Zip
30044-
Cell
(770) 885-7556
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Vasquez
First
William
DOB
12/24/1979
Address
N/A
Telephone
N/A
COB
El Salvador
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
David Vasquez 06/16/2003 Parents GA/USA
Lissette Vasquez 01/14/2005 Parents GA/USA
William Vasquez 03/19/2002 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
Carcel-Gwinnett