TOR-DIL-72

Code
TOR-DIL-72
Mercy ID
V-00604-01
Encounter Date
07/12/2001
Last
Torres
First
Dilcia
DOB
06/02/1972
County
Gwinnett
Street
5858 William Rd.
City
Norcross
State
GA
Zip
30093-
Home
(770) 921-3356
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Velazquez
First
Concepcion
DOB
05/09/1971
Address
N/A
Telephone
N/A
COB
El Salvador
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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
Cristian Velazquez 02/28/1998 Parents GA/USA
Elvin Velazquez 01/07/1999 Parents GA/USA
Jorge Torres 12/13/1994 Aunt Honduras
Jose Luis Torres 10/31/1996 Aunt Honduras
Wilmer Velazquez 01/16/1997 Parents 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
x7764 Ma. Eugenia