TEJ-MEL-88

Code
TEJ-MEL-88
Mercy ID
V-03017-01
Encounter Date
02/25/2009
Last
Tejada
First
Melissa
DOB
10/01/1988
County
Gwinnett
Street
9204 Dunleaf Arc Way
City
Norcross
State
GA
Zip
30093-
Cell
(678) 687-2619
Family Status
Adult couple-no children
COB
Dominican Rep
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Fortuna
First
Felix
DOB
10/05/1978
Address
N/A
Telephone
N/A
COB
Dominican Rep
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
NOTES

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
walk in