MEJ-MAR-77

Code
MEJ-MAR-77
Mercy ID
V-01408-01
Encounter Date
11/14/2003
Last
Mejia mojica
First
Maria
DOB
03/31/1977
County
Fulton
Street
300 Carpenter Dr. Apt C-14
City
Atlanta
State
GA
Zip
30328-
Home
(404) 841-0508
Cell
(678) 886-4342
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Ramos
First
Leopoldo
DOB
N/A
Address
N/A
Telephone
N/A
COB
El Salvador
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
Diana Mejia 08/03/2003 DFACS GA/USA
Elizabeth Mejia 10/21/2000 DFACS GA/USA
Gerardo Mejia 08/09/1999 DFACS GA/USA
Neida Mejia 09/05/2002 DFACS GA/USA
NOTES
Cell phone number belongs to a friend but for now is the only number where she can be reached.

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
Maritza Levy