THU-AUD-71

Code
THU-AUD-71
Mercy ID
V-01695-01
Encounter Date
09/03/2004
Last
Thurman
First
Audrey
DOB
11/29/1971
County
Fulton
Street
269 Roach Apt. 405
City
Atlatnta
State
GA
Zip
30314-
Home
(404) 529-9729
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Other
Education Level
some high school

Spouse Information

Last
Cepeda
First
Jose
Middle
A.
DOB
N/A
Address
N/A
Telephone
(678) 755-3215
COB
Dominican Rep
Home Owner
No
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
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
Chantrell Thurman 10/22/1996 Mother GA/USA
Deandre Cardwell 08/16/1993 Mother GA/USA
Jaida Whitaker 08/07/1997 Mother GA/USA
Jearome Whitaker 08/07/1997 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