VIL-VER-73

Code
VIL-VER-73
Mercy ID
V-00665-01
Encounter Date
07/12/2001
Last
Villanueva
First
Veronica
DOB
01/03/1973
County
Dekalb
Street
1103 Winter Creek Dr.
City
Atlanta
State
GA
Zip
30360-
Home
(404) 248-1322
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Lezo
First
Antonio
DOB
10/07/1973
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
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Blanca Susana 08/10/1991 Mother GA/USA
Carlos Alberto 02/24/1995 Mother GA/USA
Luis Antonio 08/11/1989 Mother 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
Mision/Aurea