CAR-ZEN-68

Code
CAR-ZEN-68
Mercy ID
V-01729-01
Encounter Date
10/19/2004
Last
Carpio
First
Zenaida
DOB
06/05/1968
County
Other
Street
1845 Friendship Cir.
City
Cummings
State
GA
Zip
30040-
Home
(678) 947-9904
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Perez
First
Martin
Middle
1
DOB
11/21/1967
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
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
Daniel Perez 07/15/1991 Parents GA/USA
Gustavo Perez 04/16/2004 Parents GA/USA
Mayra Carpio 12/04/1984 Parents GA/USA
Oswaldo Perez 04/16/2002 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
K. Aleman
Referred By