JAU-MAR-71

Code
JAU-MAR-71
Mercy ID
V-03069-01
Encounter Date
05/13/2009
Last
Jaubert
First
Mariela
DOB
09/27/1971
County
Newton
Street
35 Whispering Dr.
City
Covington
State
GA
Zip
30016-
Home
(689) 658-6216
Cell
(678) 629-6100
Family Status
Two parent family w/children
COB
Costa Rica
Gender
Female
Housing
Single Family
Education Level
College Degree

Spouse Information

Last
Rivas
First
Jaime
DOB
02/27/1980
Address
N/A
Telephone
N/A
COB
El Salvador
Home Owner
YES
Driver
No
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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
Monikut Jaubert 12/27/2004 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-Juana