Code
MAR-MAR-63
Mercy ID
V-00027-01
Encounter Date
01/19/2000
Last
Martinez
First
Maria guadalupe
DOB
08/16/1963
County
Dekalb
Street
2775 NE Expressway #01
City
Atlanta
State
GA
Zip
30345-
Home
(404) 633-3756
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Rodriguez
First
Jose
DOB
05/12/1959
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
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
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
Brenda Nuñez 02/21/1987 Mother w/Stepfather GA/USA
Cindy Nuñez 09/24/1992 Mother w/Stepfather GA/USA
Jaelin Nuñez 09/22/1991 Mother w/Stepfather GA/USA
Madonna Jessi Nuñez 12/25/1993 Mother w/Stepfather GA/USA
Maria Nuñez 04/08/1988 Mother w/Stepfather GA/USA
Valente Nuñez Jr. 04/27/1996 Mother w/Stepfather 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