DES-JEN-81

Code
DES-JEN-81
Mercy ID
V-02361-01
Encounter Date
11/27/2006
Last
De sousa
First
Jennifer
DOB
08/05/1981
County
Gwinnett
Street
3164 Mill Spring Cr
City
Buford
State
GA
Zip
30519-
Cell
(404) 207-3932
Family Status
Two parent family w/children
COB
Costa Rica
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
De sousa
First
Alcino
DOB
04/09/1978
Address
N/A
Telephone
N/A
COB
Brazil
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
YES
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
Pamela De Sousa 05/15/2005 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Periodico