PAR-IVE-73

Code
PAR-IVE-73
Mercy ID
V-02919-01
Encounter Date
10/20/2008
Last
Paredes
First
Iveth
DOB
05/27/1973
County
Cobb
Street
2300 Benfon Poole Rd. SE # A-14
City
Smyrna
State
GA
Zip
30082-
Cell
(813) 377-9566
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
College Degree

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
YES
Fulton
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
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
Briant Roberto Ortega 02/08/2008 DFACS Fulton

Former Spouse 1 Information

Last
Ortega
First
Carlos
DOB
09/17/1968
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-Griselda-DFCS