NAV-CLA-69

Code
NAV-CLA-69
Mercy ID
V-02847-01
Encounter Date
07/01/2008
Last
Navarro
First
Claudia
DOB
10/08/1969
County
Barrow
Street
1602 Madison Dr.
City
Bethlehem
State
GA
Zip
30620-
Home
(770) 586-5620
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Grande
First
Santiago
DOB
05/02/1968
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
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
Maria F. Grande 12/14/1995 Parents GA/USA
Maria J Grande 03/08/1991 Parents GA/USA
Santiago Grande 09/17/1999 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
Christian Counceling Center-Vanesa Rivero