REY-MOD-77

Code
REY-MOD-77
Mercy ID
V-02903-01
Encounter Date
09/17/2008
Last
Reyes
First
Modesta
DOB
11/04/1977
County
Fulton
Street
2225 Lenox Road Apt. # 4
City
Atlanta
State
GA
Zip
30324-
Cell
(404) 791-8221
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Navarrete
First
Edgar
DOB
11/16/1977
Address
N/A
Telephone
N/A
COB
Mexico
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
YES

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
Edgar de Jesus Navarrete 09/10/2003 Parents GA/USA
Joseph A. Navarrete 12/29/2007 Parents GA/USA
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
Cristina de Loggans/Child Development Center