PAC-EST-61

Code
PAC-EST-61
Mercy ID
V-00686-01
Encounter Date
09/19/2001
Last
Pacheco
First
Estela
DOB
01/05/1961
County
Cherokee
Street
449 Center St.
City
Canton
State
GA
Zip
30114-
Home
(678) 770-7323
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Salinas
First
Fidel
DOB
08/21/1969
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
Cristopher Salinas 11/20/1997 Mother GA/USA
Lizet Salinas 12/07/1992 Mother GA/USA
Miriam Salinas 04/11/1988 Mother GA/USA
Teddy Salinas 06/01/2000 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
Rebecca x7764