SAL-JOS-70

Code
SAL-JOS-70
Mercy ID
V-00985-01
Encounter Date
08/16/2002
Last
Salinas catalan
First
Josefina
DOB
10/09/1970
County
Gwinnett
Street
6836 Graves Mill
City
Norcross
State
GA
Zip
30093-
Home
(770) 337-2325
Cell
(770) 723-9900
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Catalan
First
Bernaldo
DOB
01/01/1966
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Jaritza Catalan 10/23/1994 Mother GA/USA
Jonathan Catalan 01/26/2002 Mother GA/USA
NOTES
aka Catalan

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 Ma. Eugenia