COL-JEA-75

Code
COL-JEA-75
Mercy ID
V-00807-01
Encounter Date
01/29/2002
Last
Colon
First
Jeannie
DOB
01/09/1975
County
Cobb
Street
803 Westrige Dr.
City
Acworth
State
GA
Zip
30101-
Home
(770) 529-2239
Family Status
Adult coupie-no children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Rodriguez
First
Elmer
DOB
12/30/1966
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
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
YES
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
K. Aleman
Referred By