MOR-MAR-62

Code
MOR-MAR-62
Mercy ID
V-00308-01
Encounter Date
10/03/2000
Last
Morales
First
Marta
DOB
08/21/1962
County
Gwinnett
Street
1319 Zachary way
City
Norcross
State
GA
Zip
30093-
Home
(770) 449-9920
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Moralez
First
Abraham
DOB
08/01/1963
Address
same
Telephone
N/A
COB
Guatemala
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
D. Gomez
Referred By
walkin, mision