REY-MIG-82

Code
REY-MIG-82
Mercy ID
V-02129-02
Encounter Date
01/17/2006
Last
Reyes
First
Miguel
DOB
02/23/1982
County
Dekalb
Street
1344 N Cliff Valley Way #A1
City
Atlanta
State
GA
Zip
30319-
Home
(678) 886-4442
Family Status
Two parent family w/children
COB
El Salvador
Gender
Male
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Cruz
First
Juana antonia
DOB
N/A
Address
N/A
Telephone
N/A
COB
El Salvador
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Joshua Reyes 12/14/2004 Parents GA/USA

Former Spouse 1 Information

Last
Juarez
First
Mirtala
DOB
05/21/1980
Telephone
(404) 957-2658
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
R. Miranda
Data Entry
R. Gonzalez
Referred By