Code
VEL-ALI-71
Mercy ID
V-00781-01
Encounter Date
12/20/2001
Last
Veliz
First
Alida
DOB
07/25/1971
County
Dekalb
Street
2593 New Bellford Way Apt. A
City
Chamblee
State
GA
Zip
30345-
Home
(404) 248-9279
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Romero
First
Armando
DOB
06/09/1969
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
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
YES
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
Andrew Romero 07/25/1999 Grandmother Guatemala
Jose Armando Romero 11/21/2000 Grandmother Guatemala
Michelle Romero 05/22/2002 Mother GA/USA
Mirella Sarai Veliz 06/11/1991 Grandmother Guatemala
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
x7764 Rebeca