YAN-JOS-73

Code
YAN-JOS-73
Mercy ID
V-00424-02
Encounter Date
12/05/2001
Last
Yañez
First
Jose
DOB
11/27/1973
County
Fulton
Street
5735 Roswell Rd. Apt. 411
City
Roswell
State
GA
Zip
30347-
Home
(404) 250-1394
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Adult, no formal education

Spouse Information

Last
Garcia
First
Hayde
DOB
N/A
Address
N/A
Telephone
(404) 250-1394
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
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
Steve N/A N/A GA/USA
NOTES

Media Authoritation

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