COL-LET-76

Code
COL-LET-76
Mercy ID
V-00049-01
Encounter Date
01/25/2000
Last
Colin
First
Leticia
DOB
11/16/1976
County
Fulton
Street
1780 METROPOLITAN PK WAY
City
Atlanta
State
GA
Zip
30315-
Home
(404) 559-0842
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Perdomo
First
Rene
DOB
05/22/1976
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
DANIEL 09/11/1996 Parents GA/USA
ITZEL 12/21/2000 Parents GA/USA
SHARAHI PERDOMO 09/28/1995 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