MER-CEL-68

Code
MER-CEL-68
Mercy ID
B-00007-02
Encounter Date
01/01/1999
Last
Mercado
First
Celedonio
DOB
05/03/1968
County
Not given
Street
2722 Herodia Cir. Apt. 8
City
Smyrna
State
GA
Zip
30080-
Home
(770) 541-0423
Cell
(770) 437-9181
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Albarran
First
Manuela
DOB
08/31/1964
Address
2350 Cobb Parkway apt. 8-A
Telephone
(770) 612-1453
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
Y. Garcia
Referred By