BEL-OBE-69

Code
BEL-OBE-69
Mercy ID
V-01283-01
Encounter Date
07/14/2003
Last
Bello
First
Obel
DOB
03/30/1969
County
Clayton
Street
5074 Old Peachtree Hwy. # 20
City
College park
State
GA
Zip
30297-
Cell
(770) 875-5889
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Mora
First
Jose manuel
DOB
N/A
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
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
Agustin Gatica 01/07/1993 N/A GA/USA
Edwin Mora 01/07/2002 Mother GA/USA
Emerson Rodriguez 01/31/2005 Mother GA/USA
Jose Alberto Mora 11/04/1998 Father GA/USA
Merlin Bello 05/28/2007 Mother GA/USA
Yesenia Gatica 07/10/1991 N/A GA/USA

Former Spouse 1 Information

Last
Rodriguez
First
Pedro merlin
DOB
05/13/1973
Telephone
N/A
COB
N/A
Home Owner
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
x3737 Damaryz