MOR-TER-80

Code
MOR-TER-80
Mercy ID
V-01069-01
Encounter Date
12/31/2002
Last
Morales
First
Teresa
DOB
01/13/1980
County
Fulton
Street
300 Carpenter Dr. D-17
City
Roswell
State
GA
Zip
30328-
Home
(404) 250-6183
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Villal
First
Silvano
DOB
03/20/1975
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
No
Consentimiento De Participar
No

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
Eduardo 12/18/1998 Grandfather Mexico
Elizabeth 09/20/2001 Grandfather Mexico
Francisco 04/07/1997 Grandfather Mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
Mision