CAS-JUA-49

Code
CAS-JUA-49
Mercy ID
V-02917-01
Encounter Date
10/15/2008
Last
Castillo
First
Juana
DOB
03/30/1949
County
Gwinnett
Street
941 Garden Oak Cr.
City
Larenceville
State
GA
Zip
30043-
Cell
(770) 298-3301
Family Status
Adult couple-no children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Saldariega
First
Alfredo
DOB
10/08/1947
Address
N/A
Telephone
N/A
COB
Perú
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
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
2 adultos N/A N/A Perú

Former Spouse 1 Information

Last
Nuñez
First
Felipe A.
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
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
Walk in-OLL