NAV-MAR-64

Code
NAV-MAR-64
Mercy ID
V-00256-01
Encounter Date
07/26/2000
Last
Nava
First
Margarita
DOB
08/17/1964
County
Gwinnett
Street
5376 Stanford Village Ln
City
Norcross
State
GA
Zip
30071-
Home
(678) 458-8068
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Other
Education Level
Grade school

Spouse Information

Last
Nava
First
Antonio
DOB
06/18/1961
Address
1300 Kansas Ave.
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
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
Luis Alberto Nava 06/11/1985 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
Y. Garcia
Referred By