SAL-CAR-67

Code
SAL-CAR-67
Mercy ID
V-01979-01
Encounter Date
08/12/2005
Last
Saldarriaga
First
Carmen lucia
DOB
03/11/1967
County
Cowetta
Street
151 Parkway North Apt 108
City
Newman
State
GA
Zip
30265-
Home
(770) 502-1886
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
Patiño
First
Jaime
DOB
11/11/1962
Address
N/A
Telephone
N/A
COB
Colombia
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Daniela Velez 11/18/1992 Mother w/Stepfather GA/USA
Felipe Velez 03/25/1994 Mother w/Stepfather GA/USA
Melissa Patiño 09/03/2002 Parents 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