MEN-FEL-67

Code
MEN-FEL-67
Mercy ID
V-02803-02
Encounter Date
07/22/2008
Last
Mendez
First
Felipe
DOB
03/16/1967
County
Gwinnett
Street
956 Walnut Dr.
City
Lawrenceville
Probation Officer/Caseworker
Debra Williams
State
GA
Zip
30044-
Home
(323) 572-7292
Cell
(678) 353-9524
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Serna
First
Juana
DOB
05/08/1971
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
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
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
Abril Mendez 06/05/1998 Parents GA/USA
David Mendez 12/28/2002 Parents GA/USA
Juan Mendez 08/23/1990 Adulto/Soltero GA/USA
Moises Mendez 01/14/1994 Parents GA/USA
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
Felipe