VAL-MAR-76

Code
VAL-MAR-76
Mercy ID
V-00683-01
Encounter Date
09/18/2001
Last
Valdez
First
Margarita
DOB
08/25/1976
County
Fulton
Street
165 S. Ridge Rd.
City
Sairdrn
State
GA
Zip
30218-
Home
(770) 434-0279
Other
(404) 357-5345
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Tinoco
First
Hector
DOB
09/09/1973
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
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
Gerardo Tinoco 06/20/1998 Mother GA/USA
Luis A. Tinoco 09/19/1996 Mother 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