FEL-SUE-55

Code
FEL-SUE-55
Mercy ID
V-00154-01
Encounter Date
03/29/2000
Last
Felonta
First
Suely
DOB
03/25/1955
County
Gwinnett
Street
4000 chatahooche trace
City
Duluth
State
GA
Zip
30097-
Home
(770) 476-5175
Family Status
Two parent family w/children
COB
Brazil
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Felomina
First
Marcos
DOB
07/01/1965
Address
same
Telephone
N/A
COB
Brazil
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
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
fabyan felomta 12/01/1992 Parents GA/USA
phelipe felomta 05/17/1991 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
D. Gomez
Referred By