NUÑ-MAR-82

Code
NUÑ-MAR-82
Mercy ID
V-02821-01
Encounter Date
06/16/2008
Last
Nuñez
First
Maria elena
DOB
12/29/1982
County
Cobb
Street
3289 Lancer Drive
City
Powder springs
State
GA
Zip
30127-
Cell
(770) 349-9945
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high 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
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
YES
Consentimiento De Participar
YES

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
Alonzo Gonzalez 07/24/2001 Mother GA/USA
Helen Gonzalez 07/07/2003 Mother GA/USA

Former Spouse 1 Information

Last
Gonzalez
First
Armando
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
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