MOR-JUL-70

Code
MOR-JUL-70
Mercy ID
V-02698-02
Encounter Date
01/23/2008
Last
Moreno
First
Julio
DOB
12/19/1970
County
Dekalb
Street
3124 Buford Hwy
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 851-1470
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Figueroa
First
Rocio
DOB
01/18/1970
Address
N/A
Telephone
(678) 851-1470
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
YES
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
Jesus Moreno 06/14/1996 Parents GA/USA
Julio Cesar Moreno 05/21/1990 Parents GA/USA
NOTES

Media Authoritation

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