SAN-MIR-67

Code
SAN-MIR-67
Mercy ID
V-02581-01
Encounter Date
08/29/2007
Last
Santos
First
Miriam
DOB
05/26/1967
County
Fulton
Street
145 North Wood Dr. P-11
City
Atlanta
State
GA
Zip
30342-
Cell
(678) 887-0508
Family Status
Single parent w/children
COB
Brazil
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Alvarez
First
Dennis
DOB
12/26/1978
Address
N/A
Telephone
N/A
COB
Brazil
Home Owner
YES
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
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
Jonathan Nuñez 10/25/1994 Grandmother Brazil
NOTES

Media Authoritation

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