FER-MAR-68

Code
FER-MAR-68
Mercy ID
V-01582-01
Encounter Date
04/27/2004
Last
Fernandez
First
Mariela
DOB
12/30/1968
County
Gwinnett
Street
7084 Chapel Cr.
City
Doraville
State
GA
Zip
30360-
Home
(770) 374-3262
Family Status
Two parent family w/children
COB
Uruguay
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Cianelli
First
Aldo
DOB
04/10/1970
Address
N/A
Telephone
N/A
COB
Uruguay
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
YES
Consentimiento De Participar
YES

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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Enzo Cianelli 03/13/1997 Father GA/USA
Eros Cianelli 08/22/2002 Mother GA/USA
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
x1375 Damaryz