REY-IDE-71

Code
REY-IDE-71
Mercy ID
V-00936-01
Encounter Date
05/31/2002
Last
Reyes
First
Idelmis
DOB
09/04/1971
County
Fulton
Street
2632 Blount St.
City
East point
State
GA
Zip
30344-
Home
(404) 762-7199
Family Status
Single parent w/children
COB
Cuba
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Sanfiel
First
Rafael
DOB
09/23/1958
Address
N/A
Telephone
N/A
COB
Cuba
Home Owner
No
Driver
No
Home Owner
YES
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
YES
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
Joan Rafael Sanfiel 07/11/1997 Mother GA/USA
NOTES

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
x7764 Ma. Eugenia