ERG-ZUL-70

Code
ERG-ZUL-70
Mercy ID
V-00450-01
Encounter Date
03/20/2001
Last
Ergueta
First
Zulia
DOB
02/24/1970
County
Rockdale
Street
20305 sait james
City
Coyers
State
GA
Zip
30094-
Home
(770) 761-4536
Family Status
Two parent family w/children
COB
Bolivia
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Melich
First
Andreas
DOB
09/02/1967
Address
N/A
Telephone
N/A
COB
Other
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
S. Aviña
Referred By
rebeca 7764