GUL-BAR-77

Code
GUL-BAR-77
Mercy ID
V-03038-01
Encounter Date
03/31/2009
Last
Gulhamid
First
Barbara
DOB
12/11/1977
County
Dekalb
Street
3317 Chamblee Tucker Road #-6
City
Chamblee
State
GA
Zip
30340-
Cell
(678) 531-7258
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Gulhamid
First
Nohamed
DOB
12/31/1969
Address
N/A
Telephone
N/A
COB
India
Home Owner
YES
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
Melissa Casas 03/04/1997 Mother w/Stepfather GA/USA
Zaara Khan 11/21/2005 Parents GA/USA
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