VIL-CRI-74

Code
VIL-CRI-74
Mercy ID
V-01002-01
Encounter Date
08/26/2002
Last
Villalobos
First
Cristina
DOB
06/28/1974
County
Gwinnett
Street
1539 Holcomb Bridge Apt. A
City
Norcross
State
GA
Zip
30092-
Home
(678) 438-2266
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Estrada
First
Jose luis
DOB
05/16/1974
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
No
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
Brenda N/A Mother GA/USA
Emilio N/A Mother GA/USA
Jose N/A Mother GA/USA
Marilyn N/A Mother GA/USA
Odilia N/A Mother GA/USA
Tania Correa N/A 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