GUE-IOL-69

Code
GUE-IOL-69
Mercy ID
V-03409-01
Encounter Date
08/31/2010
Last
Guerra
First
Iolen
DOB
01/08/1969
County
Cherokee
Street
3223 Hearthstone Landing Blg. 3000
City
Canton
State
GA
Zip
30114-
Cell
(404) 663-8502
Family Status
Single parent w/children
COB
Brazil
Gender
Female
Housing
Shelter
Education Level
Some College

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
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
Alejandro Guerra 08/10/2005 Mother GA/USA
Diego Guerra 12/09/2003 Mother GA/USA

Former Spouse 1 Information

Last
Guerra
First
Rudy
DOB
03/21/1953
Telephone
N/A
COB
Guatemala
Home Owner
YES
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
cell-Gris