VIL-ESM-71

Code
VIL-ESM-71
Mercy ID
V-01737-01
Encounter Date
10/25/2004
Last
Villa
First
Esmeralda
DOB
11/29/1971
County
Dekalb
Street
2281 Dell Ray
City
Decatur
State
GA
Zip
30032-
Cell
(404) 808-3526
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Post Grad Degree

Spouse Information

Last
Villa
First
Francisco
DOB
12/10/1958
Address
N/A
Telephone
N/A
COB
Perú
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
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
Santiago Cardenas 02/14/1995 Mother GA/USA
NOTES

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
x1375 Damaryz