PER-SHE-52

Code
PER-SHE-52
Mercy ID
V-02556-01
Encounter Date
08/02/2007
Last
Perez
First
Sheila
DOB
05/13/1952
County
Dekalb
Street
5881 Pine Road
City
Doraville
State
GA
Zip
30340-
Home
(770) 248-4069
Cell
(770) 285-4310
Family Status
Adult couple-no children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Juarez
First
Benito
DOB
04/12/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
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
YES
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
G. Landeros
Data Entry
J. Manzo
Referred By