VIL-SAN-73

Code
VIL-SAN-73
Mercy ID
V-01243-01
Encounter Date
06/10/2003
Last
Villatoro
First
Sandra
DOB
06/08/1973
County
Dekalb
Street
3327 Lansbury Village Apt. 6
City
Chamblee
State
GA
Zip
30341-
Home
(770) 939-3144
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Cardona
First
Gustavo
DOB
08/04/1971
Address
4032 Cumberland Dr. Snellville GA 30039
Telephone
N/A
COB
El Salvador
Home Owner
YES
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
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alexandra Cardona 01/16/1997 Mother GA/USA
Alexis Gustavo Cardona 04/15/2000 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
Latin Assaciation