SAL-ANA-69

Code
SAL-ANA-69
Mercy ID
V-00461-01
Encounter Date
03/29/2001
Last
Salinas
First
Ana
DOB
04/17/1969
County
Dekalb
Street
2745 archwasy dr apt -a
City
Chamblee
State
GA
Zip
30341-
Home
(770) 457-9832
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Barrera
First
Julio
DOB
05/23/1972
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Angela Barrera N/A N/A GA/USA
Eva Barrera N/A N/A GA/USA
NOTES
su code tiene que ser sal-ana-69

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
D. Gomez
Referred By
julia perilla 8162