DEL-MAR-67

Code
DEL-MAR-67
Mercy ID
V-00924-01
Encounter Date
05/14/2002
Last
Delgado
First
Maria elvia
DOB
05/22/1967
County
Dekalb
Street
4504 Ranger Rd.
City
Stone mountain
State
GA
Zip
30083-
Home
(404) 499-1510
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Martinez
First
Enrique
DOB
09/25/1953
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
YES
As A Child
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Enrique 03/04/1984 Mother GA/USA
Jose M. 07/27/1988 Mother GA/USA
Juan M. 11/10/1994 Mother GA/USA
Monica Ivette 02/19/1987 Mother 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
x7764 Ma. Eugenia