BAR-MAR-61

Code
BAR-MAR-61
Mercy ID
V-02156-01
Encounter Date
01/30/2006
Last
Barrera
First
Martha
DOB
02/05/1961
County
Gwinnett
Street
2936 Ben Arron Dr
City
Dacula
State
GA
Zip
30019-
Cell
(678) 357-6114
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Johnson
First
Billy
DOB
09/19/1944
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
R. Gonzalez
Referred By