REY-ERI-84

Code
REY-ERI-84
Mercy ID
V-03310-02
Encounter Date
04/27/2010
Last
Reyes
First
Erick
DOB
07/06/1984
County
Dekalb
Street
1313 Brook Court
City
Doraville
State
GA
Zip
30340-
Cell
(678) 949-0850
Family Status
Two parent family w/children
COB
Guatemala
Gender
Male
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Lopes
First
Magdalena
DOB
10/03/1985
Address
N/A
Telephone
N/A
COB
Mexico
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
Angel Reyes 09/23/2009 Parents GA/USA
Juan Rosales 01/07/2006 Mother w/Stepfather GA/USA
Reilly Rosales 02/28/2008 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea-Juana