MEN-NAR-64

Code
MEN-NAR-64
Mercy ID
V-02899-01
Encounter Date
09/17/2008
Last
Mendez
First
Narcy
DOB
02/14/1964
County
Fulton
Street
5675 Roswell Road NE Apt. 66-A
City
Atlanta
State
GA
Zip
30342-
Cell
(941) 592-1611
Family Status
Single adult
COB
Venezuela
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Guzman
First
Luis
DOB
01/08/1959
Address
N/A
Telephone
N/A
COB
Venezuela
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
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 de informacion