MEN-CRI-87

Code
MEN-CRI-87
Mercy ID
V-02574-01
Encounter Date
08/21/2007
Last
Mendoza
First
Cristina
DOB
08/21/1987
County
Fulton
Street
3145 East Point St.
City
East point
State
GA
Zip
30344-
Cell
(404) 683-4029
Family Status
Adult couple-no children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Sanchez
First
Juan
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
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. Perez
Data Entry
J. Manzo
Referred By