PAB-JEN-82

Code
PAB-JEN-82
Mercy ID
V-02539-01
Encounter Date
07/05/2007
Last
Pabora
First
Jenny
DOB
08/03/1982
County
Dekalb
Street
1750 Buford Hwy
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 913-7911
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Transitional
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
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
Gloria P. Hernandez 12/21/1998 Grandmother Honduras/materna

Former Spouse 1 Information

Last
Dario
First
Ofman
DOB
04/29/1979
Telephone
N/A
COB
Honduras
Home Owner
No
NOTES

Media Authoritation

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