OBR-VIC-78

Code
OBR-VIC-78
Mercy ID
V-01685-02
Encounter Date
09/28/2004
Last
Obregon
First
Victor manuel
DOB
02/27/1978
County
Fulton
Street
4586 Roswell Rd.
City
Atlanta
State
GA
Zip
30342-
Home
(404) 459-7130
Family Status
Single parent w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Espiritu
First
Leticia
DOB
05/17/1976
Address
N/A
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
Carlos Manuel Obregon 07/07/1999 Parents GA/USA
Kevin Eduardo Obregon 07/22/1997 Parents GA/USA
Nataly Kaori 05/05/2004 N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Fulton