IDE-JAN-80

Code
IDE-JAN-80
Mercy ID
V-01596-01
Encounter Date
05/17/2004
Last
Idelfonso
First
Janet
DOB
07/08/1980
County
Dekalb
Street
3536 Bufford Hwy Apt 8
City
Atlanta
State
GA
Zip
30329-
Home
(678) 768-5025
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Transitional
Education Level
High school graduate

Spouse Information

Last
Cuevas
First
Eden
DOB
02/10/1985
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
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Lesli Nahomi Cuevas 03/27/2004 Mother 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
Linea Nacional y Damaryz