SAL-NAN-76

Code
SAL-NAN-76
Mercy ID
V-00047-01
Encounter Date
01/26/2000
Last
Salado
First
Nancy
DOB
09/26/1976
County
Fulton
Street
300 Carpenter Dr #21
City
Atlanta
State
GA
Zip
30328-
Home
(404) 256-5038
Cell
(404) 488-4845
Other
(404) 542-6537
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Viviano
First
Mario
DOB
05/28/1967
Address
same
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
Alejandro Bibiano 02/14/2004 Parents GA/USA
Lesly Biano 06/03/2000 Parents GA/USA
Mario Viviano Salado 09/22/1996 Parents 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
D. Gomez
Referred By