BEC-ADR-69

Code
BEC-ADR-69
Mercy ID
V-01115-01
Encounter Date
02/11/2003
Last
Becameil
First
Adriana
DOB
11/03/1969
County
Fulton
Street
19207 Deer Point Ct.
City
Alpharetta
State
GA
Zip
30004-
Home
(770) 663-4433
Family Status
Two parent family w/children
COB
Uruguay
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
Godoy
First
Julio
DOB
02/20/1971
Address
N/A
Telephone
N/A
COB
Mexico
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Guillermo 03/09/1990 Parents GA/USA
Joaquin 09/24/1998 Parents 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
x3737 Damaryz