MOL-JUA-77

Code
MOL-JUA-77
Mercy ID
V-02780-01
Encounter Date
05/13/2008
Last
Molina
First
Juana
DOB
04/18/1977
County
Fulton
Street
1428 Druid Valley
City
Atlanta
State
GA
Zip
30329-
Home
(404) 645-8693
Other
(678) 927-1029
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Navarrette
First
Laurell
Middle
09
DOB
09/16/1970
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Edith Navarrette 05/12/1996 Aunt Mexico-Paterna
Jesus Manuel Navarrete 08/23/2007 Mother GA/USA
Maria del Carmen Navarrete 08/15/1993 Aunt Mexico-Paterna
Miguel Navarrete 11/25/1992 Aunt Mexico-Paterna
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
linea-Juana