GUE-JES-65

Code
GUE-JES-65
Mercy ID
V-03302-01
Encounter Date
04/19/2010
Last
Guerra
First
Jesus
DOB
01/03/1965
County
Fulton
Street
2788 Defoors Ferry Rd.
City
Atlanta
State
GA
Zip
30318-
Cell
(404) 694-8937
Other
(678) 662-9285
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Guerra
First
Raquel
DOB
09/13/1959
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
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
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
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
Benaly Guerra 06/20/2000 Parents GA/USA
Edizon Guerra 11/01/1991 Parents GA/USA
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
El esposo llamo al progama ref. corte