MEN-ORL-70

Code
MEN-ORL-70
Mercy ID
V-00033-02
Encounter Date
02/02/2000
Last
Mendez
First
Orlando
DOB
05/08/1970
County
Dekalb
Street
2744 Archway Dr. Apt-A
City
Chamblee
State
GA
Zip
30341-
Home
(770) 620-4339
Family Status
Adult coupie-no children
COB
Honduras
Gender
Male
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Nuñez
First
Josefa
DOB
06/06/1963
Address
same
Telephone
N/A
COB
Honduras
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

Media Authoritation

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