COR-ELI-65

Code
COR-ELI-65
Mercy ID
V-00987-01
Encounter Date
08/20/2002
Last
Coronado
First
Elizabeth
DOB
12/11/1965
County
Dekalb
Street
3323 Parkway Cr.
City
Doraville
State
GA
Zip
30340-
Cell
(678) 764-8885
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
Home Owner
No
Driver
No
Home Owner
YES
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
YES
Relative
YES
Stranger
YES
As An Adult
YES
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Armando Coronado 12/28/1996 Aunt Elizabeth
Karen Castellano 12/08/1983 Mother w/Stepfather GA/USA
Mercedes Lorenzano 11/06/1999 Aunt Elizabeth
Ricardo Coronado 02/17/1995 Mother GA/USA

Former Spouse 1 Information

Last
Coronado
First
Armando
DOB
04/01/1948
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
x7764 Ma. Eugenia