REE-ANG-84

Code
REE-ANG-84
Mercy ID
V-01626-01
Encounter Date
06/15/2004
Last
Reed
First
Angela
DOB
08/26/1984
County
Fulton
Street
59 Longview Dr.
City
East point
State
GA
Zip
30344-
Home
(404) 312-9895
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Elias perez
First
Jose sergio
DOB
10/25/1976
Address
N/A
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
No
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
Destiny Reed 08/04/2002 Grandmother GA/USA
Jesus Reed 02/12/2004 Mother w/Stepfather GA/USA
Leslie Elias Reed 06/10/2003 Parents GA/USA
Selena Reed 06/22/1998 Grandmother 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
Rafa Evalucaion