FLO-NOH-78

Code
FLO-NOH-78
Mercy ID
V-02283-01
Encounter Date
07/05/2006
Last
Flores
First
Nohemi estela
DOB
01/01/1978
County
Gwinnett
Street
659 Southwind Dr.
City
Lilburn
State
GA
Zip
30047-
Other
(678) 665-5168
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Guerrero
First
Selvin
DOB
N/A
Address
N/A
Telephone
N/A
COB
Honduras
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
YES
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
Betty Melisa Guerrera 03/13/1999 Grandmother Honduras
Rosa M. Guerrera 06/30/1997 Grandmother Honduras
NOTES
Abuela materna en Honduras

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
walkin