ORE-VIO-74

Code
ORE-VIO-74
Mercy ID
V-00509-01
Encounter Date
09/20/2002
Last
Orejel
First
Violeta
DOB
09/10/1974
County
Fulton
Street
2421 Morosco Way Apt.F
City
Atlanta
State
GA
Zip
30324-
Home
(404) 816-9487
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Padilla
First
Rafael
DOB
N/A
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
Emmanuel Padilla 05/03/2002 Parents GA/USA
Luis Balcazar 06/24/1997 Mother w/Stepfather GA/USA
Rubi Avila 01/25/1996 Mother w/Stepfather GA/USA
Violeta Baltazar 10/13/1999 Father w/Stepmother GA/USA
NOTES

Media Authoritation

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