CAR-JOS-80

Code
CAR-JOS-80
Mercy ID
V-02114-02
Encounter Date
01/03/2006
Last
Cardozo
First
Jose domingo
DOB
11/21/1980
County
Fulton
Street
970 Windy Hill Rd Apt 11-G
City
Smyrna
State
GA
Zip
30080-
Home
(770) 434-7608
Cell
(678) 794-6374
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Other
Education Level
Some College

Spouse Information

Last
Oviedo
First
Maria del sagrado
DOB
11/22/1981
Address
N/A
Telephone
(770) 434-7608
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
Emily Ibeth Cardozo 01/24/2005 Parents GA/USA
Juan Pablo Cardozo 02/03/1999 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