PAR-MAY-74

Code
PAR-MAY-74
Mercy ID
V-02723-01
Encounter Date
02/26/2008
Last
Parra
First
Mayerlyng
DOB
08/18/1974
County
Fulton
Street
2001 Greenhouse Drive
City
Roswell
State
GA
Zip
30076-
Cell
(770) 256-2072
Family Status
Two parent family w/children
COB
Venezuela
Gender
Female
Housing
Single Family
Education Level
College Degree

Spouse Information

Last
Duron
First
Angel
DOB
09/29/1980
Address
N/A
Telephone
N/A
COB
Honduras
Home Owner
No
Driver
No
Home Owner
No
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Angel Duron 08/14/2006 Parents GA/USA
Stifen Rice 03/13/2002 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Rice
First
Richard
DOB
07/10/1966
Telephone
N/A
COB
USA
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
linea-Juana