MOR-HEY-79

Code
MOR-HEY-79
Mercy ID
V-01689-01
Encounter Date
09/13/2004
Last
Morales
First
Heibi
DOB
12/04/1979
County
Gwinnett
Street
2428 Sweet Shrub Cir.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 339-8387
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Perez
First
Manuel
DOB
06/16/1976
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
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Andy Perez 09/10/2004 Mother GA/USA
Chris Perez 05/08/2000 Mother GA/USA
Demis Perez 03/24/2002 Mother GA/USA
Keidy Perez 04/29/1999 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
Damaryz