YOU-LEL-58

Code
YOU-LEL-58
Mercy ID
V-02228-01
Encounter Date
04/18/2006
Last
Younes
First
Lely
DOB
07/11/1958
County
Other
Street
2520 Marron Rd. # 302
City
Carlbad
State
CA
Zip
92010-
Cell
(760) 583-8201
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Younes
First
Khaleb
DOB
02/09/1967
Address
N/A
Telephone
N/A
COB
Other
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
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
Adulta N/A N/A GA/USA

Former Spouse 1 Information

Last
Younes
First
Khaleb
DOB
02/09/1967
Telephone
N/A
COB
Other
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By
Periodico "Mundo Hispanico"