MAR-LEO-78

Code
MAR-LEO-78
Mercy ID
V-02076-02
Encounter Date
11/08/2005
Last
Marin
First
Leonardo
DOB
11/06/1978
County
Fulton
Street
364 Clydecole Rd
City
Dallas
State
GA
Zip
30157-
Home
(404) 379-1483
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Zentle
First
Carmen joanna
DOB
08/22/1980
Address
N/A
Telephone
(770) 505-3300
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Isabel Marin 02/14/2001 Parents GA/USA
Jose Marin 11/27/1998 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
R. Gonzalez
Referred By
Damaryz Gomez