FLO-JOS-75

Code
FLO-JOS-75
Mercy ID
V-00788-41
Encounter Date
03/08/2002
Last
Flores
First
Jose
DOB
12/06/1975
County
Gwinnett
Street
304 Austell
City
Norcross
State
GA
Zip
30094-
Home
(678) 523-0686
Family Status
Adult coupie-no children
COB
Venezuela
Gender
Male
Housing
Doubling Up
Education Level
Post Grad Degree

Spouse Information

Last
Flores
First
Yobiris
Middle
M.
DOB
02/16/1977
Address
N/A
Telephone
N/A
COB
Venezuela
Home Owner
No
Driver
No
Home Owner
No
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
Hermano de Flores Yobiris

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
K. Aleman
Referred By
Fulton