SUA-BRA-70

Code
SUA-BRA-70
Mercy ID
V-00132-02
Encounter Date
02/09/2000
Last
Suarez
First
Braulio
DOB
07/16/1970
County
Cobb
Street
933 milstone dr
City
Marietta
State
GA
Zip
30062-
Home
(770) 579-5468
Family Status
Single parent w/children
COB
USA
Gender
Male
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
Suarez
First
Lizheta
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
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
jenesi suarez 05/11/1992 Parents GA/USA
naul suarez 10/12/1994 Parents GA/USA
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