BAR-ERI-84

Code
BAR-ERI-84
Mercy ID
V-02832-01
Encounter Date
07/01/2008
Last
Barberena
First
Erica
DOB
06/14/1984
County
Dekalb
Street
999 no la quiso dar
City
No lo dio
State
GA
Zip
99999-
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma

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
YES
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
Francisco Barberena 08/22/2003 Parents GA/USA
Shenaya Kenyata 08/24/2005 Mother GA/USA
Zamorian Diego Barberena 05/06/2007 Mother GA/USA

Former Spouse 1 Information

Last
Barberena
First
Francisco
DOB
06/13/1984
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