CAS-LET-79

Code
CAS-LET-79
Mercy ID
V-00442-01
Encounter Date
03/07/2001
Last
Castillo
First
Leticia
DOB
11/16/1979
County
Gwinnett
Street
1103 Lea Hill
City
Norcross
State
GA
Zip
30071-
Home
(678) 895-8629
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Olvera
First
Martin
DOB
02/23/1975
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
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
Lesli Ruth Olvera Castillo 10/23/2000 Father GA/USA
NOTES
Did not sign the consent form because her daughter is not with her at the time.

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Mision Catolica