Code
COR-PAT-68
Mercy ID
V-00663-01
Encounter Date
08/29/2001
Last
Cordoba
First
Patricia
DOB
12/20/1968
County
Dekalb
Street
P.O. Box 47711
City
Doraville
State
GA
Zip
30362-
Home
(678) 234-9199
Family Status
Two parent family w/children
COB
PerĂº
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Cortes
First
Teodoro
DOB
03/17/1964
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
No
Driver License Date
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
Juan Cortes 08/31/1986 Parents GA/USA
Luis Cortes 01/20/1987 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
una amiga del programa/Mercedes Pujada