VAR-ERI-74

Code
VAR-ERI-74
Mercy ID
V-00976-01
Encounter Date
07/06/2002
Last
Vargas
First
Erika
DOB
03/08/1974
County
Fulton
Street
338 Wood Creek
City
Roswell
State
GA
Zip
30076-
Home
(678) 357-7936
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Cardoza
First
Marco
Middle
A.
DOB
10/03/1975
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
YES
Consentimiento De Participar
YES

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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Edwin Gonzalez 05/03/1995 N/A GA/USA
Nerisabel Soledad Cardozo 06/08/2002 Parents GA/USA

Former Spouse 1 Information

Last
Cardoza
First
Maria eulalia
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
NOTES
Erika Vargas no es la persona con la que Marco Cardoza tuve el incidente de V.D. Maria Eulalia es con la que tuvo el incidente Marco A. Cardoza

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
Evaluacion