CAS-GRE-76

Code
CAS-GRE-76
Mercy ID
V-03043-02
Encounter Date
04/14/2009
Last
Castro
First
Gregorio
DOB
12/10/1976
County
Dekalb
Street
908 Murphy Ave.
City
Atlanta
State
GA
Zip
30310-
Home
(404) 423-0441
Cell
(404) 808-8380
Family Status
Single adult
COB
USA
Gender
Male
Housing
Other
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
DFCS Mandated
No
Alcohol & Drug
YES
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
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Former Spouse 1 Information

Last
Castro
First
Mary ann
DOB
06/04/1965
Telephone
N/A
COB
N/A
Home Owner
YES
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
Dekalb Court