NOV-OSC-84

Code
NOV-OSC-84
Mercy ID
V-02402-02
Encounter Date
01/30/2007
Last
Nova
First
Oscar
DOB
12/10/1984
County
Fulton
Street
380 Lakeside Dr.
City
Fairburn
Probation Officer/Caseworker
David Poindexter
State
GA
Zip
30213-
Home
(770) 892-3392
Cell
(770) 896-6815
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Jonathan Michael Nova (3) N/A Mother GA/USA

Former Spouse 1 Information

Last
Carpinteiro
First
Dulce
DOB
N/A
Telephone
N/A
COB
Hidalgo, Mexico
Home Owner
No
NOTES

Media Authoritation

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