ANT-LET-73

Code
ANT-LET-73
Mercy ID
V-03071-01
Encounter Date
05/12/2009
Last
Antonio
First
Leticia
DOB
08/09/1973
County
Gwinnett
Street
1711 Gwinnett Station Tucker
City
Norcross
State
GA
Zip
30084-
Cell
(678) 558-4121
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Guerra
First
Dennis
DOB
06/28/1967
Address
N/A
Telephone
N/A
COB
Honduras
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
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
Brandon Y. Guera 01/08/2007 Parents GA/USA
Keily Guerra 05/26/2008 Parents GA/USA
Yuritza Antonio 06/24/1993 Mother w/Stepfather 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