NAV-ADR-69

Code
NAV-ADR-69
Mercy ID
V-03442-01
Encounter Date
02/21/2011
Last
Navarro
First
Adriana
DOB
10/09/1969
County
Fulton
Street
6490 White Mill Road
City
Fairburn
State
GA
Zip
30213-
Home
(770) 969-5790
Cell
(404) 771-2926
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Mitchell
First
Casey
DOB
01/21/1967
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
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
Camilo Mitchell 01/03/1997 Mother GA/USA
Julian E. Mitchell 01/03/1997 Mother 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
linea-Juana