NAJ-YAZ-77

Code
NAJ-YAZ-77
Mercy ID
V-02722-01
Encounter Date
02/26/2008
Last
Najera
First
Yazmin
DOB
09/14/1977
County
Gwinnett
Street
108 Pwin Spring #L-3
City
Norcross
State
GA
Zip
30093-
Cell
(404) 324-2528
Work
(404) 727-2147
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
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
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
April Solis 09/12/1996 Mother GA/USA
Kimberly Solis 05/13/1999 Mother GA/USA
Yazmin Solis 09/30/2000 Mother GA/USA

Former Spouse 1 Information

Last
Solis
First
Fidel
DOB
03/02/1964
Telephone
N/A
COB
Mexico
Home Owner
YES
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
Lilburn Elem. /Karla