GOM-DUN-62

Code
GOM-DUN-62
Mercy ID
V-00117-01
Encounter Date
02/11/2000
Last
Gomez
First
Dunia
DOB
09/09/1962
County
Dekalb
Street
3307 Laurel Oak Ct.
City
Doraville
State
GA
Zip
30340-
Home
(770) 242-0180
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Watkins
First
Larry
DOB
05/31/1971
Address
3981 Ebenezer Rd.
Telephone
(678) 494-9147
COB
EEUU
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
Y. Garcia
Referred By