CAR-MAR-65

Code
CAR-MAR-65
Mercy ID
V-01553-01
Encounter Date
04/06/2004
Last
Cardenas
First
Maria
DOB
08/20/1965
County
Dekalb
Street
1676 Briarcliff Rd.
City
Atlanta
State
GA
Zip
30306-
Home
(404) 879-0486
Cell
(404) 365-0001
Family Status
Single adult
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Cardenas
First
Jorge
DOB
12/09/1954
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
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
Anita Cardenas 08/19/1999 DFACS GA/USA
Daysi Cardenas 03/21/1993 DFACS GA/USA
Denis Cardenas 04/11/1989 DFACS GA/USA
George Cardenas 03/29/2002 DFACS GA/USA
Jose Cardenas 05/23/1996 DFACS GA/USA
Luz Cardenas 02/10/1987 DFACS GA/USA
Maria Cardenas 04/07/1984 Adulto/Casado GA/USA
Marvin Cardenas 04/07/1991 DFACS 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
DFACS-Dekalb Jay Blake