DUA-AUR-63

Code
DUA-AUR-63
Mercy ID
V-01317-01
Encounter Date
08/12/2003
Last
Duarte
First
Aurora
DOB
08/17/1963
County
Cobb
Street
991 Blair Bridge Rd.
City
Austell
State
GA
Zip
30168-
Home
(770) 745-3574
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Mendoza
First
Raul
DOB
07/01/1967
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
No
Consentimiento De Participar
No

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
Brenda N/A N/A GA/USA
Jeramy Duarte N/A N/A GA/USA
Lluvia N/A N/A GA/USA
Miguel Angel Duarte N/A N/A GA/USA
Raul Alexander Duarte N/A N/A GA/USA
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