URI-MIR-73

Code
URI-MIR-73
Mercy ID
V-00185-01
Encounter Date
04/18/2000
Last
Uriostegui
First
Mirna
DOB
01/18/1973
County
Dekalb
Street
3398 Navaho Trl.
City
Smyrna
State
GA
Zip
30080-
Home
(770) 801-9051
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Cuevas
First
Francisco
DOB
11/23/1967
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
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
Francisco Cuevas 09/05/1992 Parents GA/USA
Jesenia Cuevas 12/24/1990 Parents GA/USA
Katerine Cuevas 01/14/1996 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
Y. Garcia
Referred By