FLO-YOB-77

Code
FLO-YOB-77
Mercy ID
V-00788-01
Encounter Date
01/08/2002
Last
Flores
First
Yobiris
DOB
02/16/1977
County
Fulton
Street
1109 Belco Prkway
City
Roswell
State
GA
Zip
30350-
Home
(404) 932-0630
Family Status
Single adult
COB
Venezuela
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Hodge
First
Yair
DOB
08/31/1983
Address
N/A
Telephone
N/A
COB
Panamá
Home Owner
YES
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

Former Spouse 1 Information

Last
Flores
First
Jose
DOB
12/06/1975
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Corte