BYR-DAL-75

Code
BYR-DAL-75
Mercy ID
V-03094-01
Encounter Date
06/22/2009
Last
Byrd
First
Dallana
DOB
01/28/1975
County
Douglass
Street
1214 Brentwood
City
Douglassville
State
GA
Zip
30135-
Home
(678) 398-9618
Cell
(404) 375-7722
Family Status
Two parent family w/children
COB
Panamá
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Byrd
First
Samuel
DOB
01/19/1975
Address
N/A
Telephone
N/A
COB
USA
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
Josiah Byrd 01/08/2008 Parents GA/USA
Samuel Byrd IV 10/01/2004 Parents GA/USA
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
TV despierta America