JUA-BEN-75

Code
JUA-BEN-75
Mercy ID
V-02556-02
Encounter Date
08/07/2007
Last
Juarez
First
Benito
DOB
04/12/1975
County
Gwinnett
Street
5848 Westerhill Dr.
City
Norcross
Probation Officer/Caseworker
Varner
State
GA
Zip
30371-
Cell
(404) 606-4111
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Perez
First
Sheila
DOB
05/13/1952
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
Program Completed
YES
DFCS Mandated
No
Alcohol & Drug
YES
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
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
Dekalb Court