FLO-MEL-68

Code
FLO-MEL-68
Mercy ID
V-00403-01
Encounter Date
01/30/2001
Last
Flores
First
Melissa
DOB
04/19/1968
County
Cobb
Street
150 West Park Dr.
City
Athens
State
GA
Zip
30606-
Home
(706) 543-2163
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Flores
First
Gerardo
DOB
11/02/1980
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
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
Angelina Martinez N/A Mother w/Stepfather GA/USA
Gabriel N/A Mother w/Stepfather GA/USA
Jonathan N/A Mother w/Stepfather GA/USA
NOTES
Telephone 2 is a work phone.

Media Authoritation

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