REY-MAR-74

Code
REY-MAR-74
Mercy ID
V-02105-01
Encounter Date
12/07/2005
Last
Reyes
First
Maria reina
DOB
03/15/1974
County
Dekalb
Street
3475 Pleasantbrook Village Ln
City
Doraville
State
GA
Zip
30340-
Cell
(404) 455-7723
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Reyes
First
Odilon
DOB
01/01/1959
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
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
Jennifer Reyes 05/07/1994 Mother GA/USA
Jessica Reyes 10/09/1995 Mother GA/USA
John P Reyes 06/27/1991 Father GA/USA
Marcos Reyes 07/02/1992 Father GA/USA
Mauricio Reyes 01/12/2000 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
R. Gonzalez
Referred By
Karla Cuadra