PAD-MAR-72

Code
PAD-MAR-72
Mercy ID
V-01761-01
Encounter Date
11/16/2004
Last
Padilla
First
Maria de los santos
DOB
09/07/1972
County
Gwinnett
Street
723 Gwinnette Station Cr.
City
Tucker
State
GA
Zip
30084-
Cell
(770) 882-9002
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Salas
First
Jose hilario
DOB
09/28/1966
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Erika Salas 04/04/1992 Parents GA/USA
Jasmin Salas 11/12/2004 Parents GA/USA
Jonathan Salas 02/22/2008 Parents GA/USA
Julio Salas 04/06/1997 Parents GA/USA
Leticia Salas 04/04/1992 Parents GA/USA
Maria Carmen Salas 07/16/1990 Parents GA/USA
Marta Salas 10/22/1993 Parents GA/USA
NOTES
3/22/10 entro nuevamente a la linea.

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By
Damaryz