NAV-FER-69

Code
NAV-FER-69
Mercy ID
V-00130-02
Encounter Date
02/22/2000
Last
Navarrete
First
Fermin
DOB
07/07/1969
County
Fulton
Street
1676 briafcliff rd apt27
City
Atlanta
State
GA
Zip
30306-
Home
(404) 817-0676
Family Status
Single parent w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Acosta
First
Consuelo
DOB
N/A
Address
N/A
Telephone
(404) 315-0352
COB
Honduras
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
S. Aviña
Referred By