ORE-VIC-66

Code
ORE-VIC-66
Mercy ID
V-00455-02
Encounter Date
05/08/2001
Last
Orellana
First
Victor
DOB
02/14/1966
County
Cobb
Street
410 McArthur Dr.
City
Marietta
State
GA
Zip
30060-
Home
(770) 383-9805
Family Status
Two parent family w/children
COB
Belize
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
De avila
First
Nora
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Brenda Orellana 02/21/1994 Mother GA/USA
Diana Orellana 10/11/1998 Mother GA/USA
Victor Orellana 06/03/1992 Mother 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
Cobb