TRE-CLA-76

Code
TRE-CLA-76
Mercy ID
V-03230-01
Encounter Date
12/24/2009
Last
Trejo
First
Claudia
DOB
10/09/1976
County
Gwinnett
Street
3250 Sweetwater Road
City
Lawrenceville
State
GA
Zip
30044-
Cell
(678) 913-9866
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Rivera
First
Ronal
DOB
05/02/1982
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
YES
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
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
Brenda Rivera 01/01/2006 Mother GA/USA
Jose Torres 07/10/1995 Mother GA/USA
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
linea-Griselda