NAV-NOH-83

Code
NAV-NOH-83
Mercy ID
V-00201-01
Encounter Date
05/23/2000
Last
Nava
First
Nohemy
DOB
02/12/1980
County
Fulton
Street
55 Northwood Dr.
City
Atlanta
State
GA
Zip
30342-
Home
(678) 760-2101
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Gonzalez
First
Luis
Middle
E.
DOB
05/10/1983
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
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
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
Itzel Gonzalez 05/10/2005 Parents GA/USA
Litsy Gonzalez 10/01/2000 Parents GA/USA
Luis Antonio Gonzalez 01/18/2004 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
Y. Garcia
Referred By