HUR-MAR-61

Code
HUR-MAR-61
Mercy ID
V-00404-01
Encounter Date
01/31/2001
Last
Hurtado
First
Maria
DOB
11/24/1961
County
Cobb
Street
1150 Atlanta Rd Lt 106
City
Marietta
State
GA
Zip
30060-
Home
(770) 428-0662
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Arraguin
First
Rafael
DOB
10/30/1970
Address
N/A
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
D. Gomez
Referred By
7764 Michael