EME-VER-74

Code
EME-VER-74
Mercy ID
V-03253-01
Encounter Date
02/08/2010
Last
Emery
First
Vera
DOB
08/24/1974
County
Gwinnett
Street
3920 Genoa Ct. NW
City
Duluth
State
GA
Zip
30096-
Cell
(678) 852-2442
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Emery
First
Jerry lee
DOB
07/07/1960
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
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
Francesca Emery 08/25/2001 Parents GA/USA
Jacob Emery 01/02/2007 Parents GA/USA
Jovanny M Emery 09/14/1994 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
Mary Alan/Gwn. Schools