SAU-MAR-74

Code
SAU-MAR-74
Mercy ID
V-00866-01
Encounter Date
03/24/2002
Last
Saucillo
First
Maria dolores
DOB
03/24/1974
County
Dekalb
Street
2565 Pilgrim Way Apt. B
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 781-3712
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
Middle
M.
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Juan Yerena 04/16/2003 Mother GA/USA
Samuel Antony Yerena 08/22/2001 Mother GA/USA

Former Spouse 1 Information

Last
Yerena
First
Jose manuel
DOB
12/22/2019
Telephone
N/A
COB
N/A
Home Owner
No
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
linea-Griselda-2008