TOR-KAR-76

Code
TOR-KAR-76
Mercy ID
V-01940-01
Encounter Date
06/20/2005
Last
Toribio
First
Karla
DOB
12/07/1976
County
Dekalb
Street
3222 Oakwood Village Ln. Apt A
City
Atlanta
State
GA
Zip
30341-
Cell
(404) 246-2139
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Toribio
First
Pedro
DOB
12/23/1973
Address
N/A
Telephone
N/A
COB
Dominican Rep
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
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Daniel 01/29/2003 Mother GA/USA
David 11/16/2000 Mother GA/USA
Esequiel 05/10/1999 Mother 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
Asso. Latina/Damaryz