MAC-MAR-80

Code
MAC-MAR-80
Mercy ID
V-01067-01
Encounter Date
12/29/2002
Last
Macedo
First
Marvella
DOB
01/11/1980
County
Cobb
Street
131 Appleton Circle
City
Marietta
State
GA
Zip
30008-
Home
(678) 402-1536
Cell
(404) 380-4145
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
No
As An Adult
YES
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Ashly Macedo 06/12/2007 Mother GA/USA
John Jairo Soto 08/08/2001 Mother GA/USA
Michelle Macedo 06/12/2007 Mother GA/USA
Osvaldo Soto 05/14/1996 Mother GA/USA
Steven Soto 01/08/1999 Mother GA/USA

Former Spouse 1 Information

Last
Soto
First
Jose
DOB
11/06/1972
Telephone
N/A
COB
Mexico
Home Owner
No

Former Spouse 2 Information

Last
L?????????????????????????????
First
L?????????????????????????????
DOB
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES
D.L. father,uncle & husband

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
YES
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
x3737 Jacqueline Cuadra