MEN-JOE-74

Code
MEN-JOE-74
Mercy ID
V-00194-03
Encounter Date
11/19/2002
Last
Mendoza vasquez
First
Joel
DOB
06/16/1974
County
Fulton
Street
6995 Roswell Rd.
City
Atlanta
State
GA
Zip
30328-
Home
(770) 698-9861
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Abreu
First
Daysi
DOB
N/A
Address
N/A
Telephone
N/A
COB
Dominican Rep
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
Anthony N/A N/A GA/USA
Kelvin N/A N/A GA/USA
Kristal N/A N/A GA/USA
Quida N/A N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Fulton