CHA-SOL-83

Code
CHA-SOL-83
Mercy ID
V-00964-01
Encounter Date
07/08/2002
Last
Chavez
First
Soledad
DOB
12/31/1983
County
Dekalb
Street
709 Winters Creek
City
Doraville
State
GA
Zip
30360-
Home
(678) 754-8571
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Chavez
First
Jose abel
DOB
11/14/1974
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
Celina del Mar Chavez 04/05/2001 Father GA/USA
Erik Lamar Chavez 09/29/1998 Grandmother GA/USA
Yamyly Chavez 04/02/2000 Father 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
x7764