SUA-DAV-76

Code
SUA-DAV-76
Mercy ID
V-02110-02
Encounter Date
01/03/2006
Last
Suarez
First
David
DOB
04/03/1972
County
Dekalb
Street
1750 Briarwood Rd Apt H
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 973-8439
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Perez
First
Ana maria
DOB
03/11/1973
Address
N/A
Telephone
(404) 447-0371
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
DFCS Mandated
No
Alcohol & Drug
YES
Partner Referred to Tepestri
No
Recidivism/Court
YES
New Incident
YES
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
YES
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
Ana Maria Perez 09/03/1993 Parents GA/USA
Andres Suarez 03/19/2004 Parents GA/USA
Florentino Suarez 10/01/2002 Parents GA/USA
Isela Suarez 10/19/1999 Parents GA/USA
Reina Perez 01/06/1996 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
R. Gonzalez
Referred By