PAT-MEL-80

Code
PAT-MEL-80
Mercy ID
V-00446-01
Encounter Date
03/13/2001
Last
Patrick
First
Melinda
DOB
09/17/1980
County
Cherokee
Street
1806 Treehouse Pkwy
City
Norcross
State
GA
Zip
30093-
Home
(678) 886-7831
Family Status
Single parent w/children
COB
USA
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Nuñez
First
Herculano
DOB
08/04/1969
Address
same
Telephone
N/A
COB
Mexico
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
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
andrea sigaran 03/01/1997 Mother w/Stepfather GA/USA
briana nuñes 03/16/2000 Parents GA/USA
Claudia Nuñez 08/04/2001 Father GA/USA
cristian beltran 10/14/1995 Mother w/Stepfather GA/USA
Roberto Nuñez 07/23/2003 Father 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
D. Gomez
Referred By
evaluation