BOL-SON-77

Code
BOL-SON-77
Mercy ID
V-01550-01
Encounter Date
03/29/2004
Last
Bolivar
First
Sonia
DOB
06/17/1977
County
Gwinnett
Street
501 Stone View Trail
City
Lilburn
State
GA
Zip
30047-
Home
(770) 564-2974
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Lewis
First
No name on intake
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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. Manzo
Data Entry
K. Aleman
Referred By
x1375