DIE-DOR-63

Code
DIE-DOR-63
Mercy ID
V-00503-01
Encounter Date
09/05/2002
Last
Diego
First
Doris
DOB
08/05/1963
County
Fulton
Street
360 Troy St.
City
Atlanta
State
GA
Zip
30315-
Home
(404) 627-0774
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Diego
First
Alberto
DOB
08/07/1960
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Domingo Diego 03/21/1996 Parents GA/USA
Juan Alberto Diego 05/22/1990 Parents GA/USA
Karla Diego 01/23/1985 Parents GA/USA
Marlene Diego 05/24/1993 Parents GA/USA
NOTES

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