TOR-MAR-63

Code
TOR-MAR-63
Mercy ID
V-00098-02
Encounter Date
02/14/2000
Last
Torres
First
Mario
DOB
10/20/1963
County
Dekalb
Street
73 travis apt. 1
City
Stone mountain
State
GA
Zip
38083-
Home
(770) 465-4403
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Adult, no formal education

Spouse Information

Last
Ballarta
First
Reyna
DOB
10/19/1972
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
Y. Garcia
Referred By