Code
CAS-VIC-74
Mercy ID
V-02913-02
Encounter Date
01/26/2009
Last
Castro
First
Vicente
DOB
07/19/1974
County
Cherokee
Street
7829 Midway Rd.
City
Alpharetta
State
GA
Zip
30004-
Home
(678) 947-6016
Cell
(770) 480-1800
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Garcia
First
Maure
DOB
07/13/1976
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Daisy Castro 03/14/2004 Parents GA/USA
Jennifer Elizabet Castro 05/31/1998 Parents GA/USA
Jesenia Castro 04/27/2001 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
Parenting class