TOR-NIU-68

Code
TOR-NIU-68
Mercy ID
V-01271-01
Encounter Date
06/30/2003
Last
Tornet
First
Niurka
DOB
12/01/1968
County
Gwinnett
Street
3024 Hidden Lake Dr.
City
Duluth
State
GA
Zip
30096-
Home
(678) 570-6412
Family Status
Adult coupie-no children
COB
Cuba
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Balakakis
First
Theodocio
DOB
07/25/1974
Address
220 Taggart Run Lawrenceville GA 30044
Telephone
N/A
COB
Other
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
NOTES

Media Authoritation

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