PUJ-MER-64

Code
PUJ-MER-64
Mercy ID
V-00658-01
Encounter Date
08/20/2001
Last
Pujada
First
Mercedes
DOB
09/22/1964
County
Gwinnett
Street
3256 Amesbuey Way
City
Duluth
State
GA
Zip
30096-
Home
(678) 474-0757
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Pujada
First
Felix
DOB
09/04/1966
Address
N/A
Telephone
N/A
COB
Perú
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
Fiorela Pujada 05/04/1998 Mother GA/USA
Melanie Pujada 04/17/1991 Mother GA/USA
Melissa Pujada 12/30/1983 Mother GA/USA
Mercedes Pujada 03/14/1997 Mother GA/USA
Phillip Pujada 11/09/1993 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
K. Aleman
Referred By
x7764 Ma. Eugenia