MIR-YEN-80

Code
MIR-YEN-80
Mercy ID
V-01978-01
Encounter Date
08/12/2005
Last
Miranda
First
Yenci
DOB
08/11/1980
County
Gwinnett
Street
726 Valley View Dr.
City
Stone mountain
State
GA
Zip
30087-
Home
(770) 557-1637
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Aragon
First
Federico
DOB
09/13/1972
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
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
Brayant Aragon 09/13/2000 Mother GA/USA
Federico Aragon 01/11/1999 Mother GA/USA
Samantha Aragon 06/27/2005 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