ENC-MON-79

Code
ENC-MON-79
Mercy ID
V-00418-01
Encounter Date
01/02/2001
Last
Encarnacion
First
Monica
DOB
01/03/1979
County
Dekalb
Street
2420 johnson rd apt e
City
Atlanta
State
GA
Zip
30345-
Home
(404) 321-4793
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Cordona
First
Javier
DOB
11/25/1978
Address
2739 3 shallowford rd chamble ga
Telephone
N/A
COB
Honduras
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
YES
Consentimiento De Participar
YES

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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
S. Aviña
Referred By
eugenia 7764