SUA-AMA-72

Code
SUA-AMA-72
Mercy ID
V-00036-01
Encounter Date
01/04/2000
Last
Suarez
First
Amalia
DOB
01/28/1972
County
Dekalb
Street
1517 Saga mor Dr
City
Atlanta
State
GA
Zip
30345-
Home
(404) 274-0912
Family Status
Single adult
COB
Cuba
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Unger
First
Paul
DOB
11/20/1954
Address
same
Telephone
N/A
COB
Cuba
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
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
J. Perez
Data Entry
D. Gomez
Referred By