VAC-YES-82

Code
VAC-YES-82
Mercy ID
V-02091-01
Encounter Date
10/18/2005
Last
Vaca
First
Yesenia
DOB
09/15/1982
County
Fulton
Street
3804 Martin Luther King Dr.
City
Atlanta
State
GA
Zip
30331-
Home
(404) 691-0528
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Nuñez
First
Carlos
DOB
N/A
Address
N/A
Telephone
N/A
COB
Honduras
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
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
Carlos Nuñez 07/05/1999 Grandmother Hinduras
Keisy Nuñez 10/31/1997 Grandmother Honduras

Former Spouse 1 Information

Last
Vaca (Hermano)
First
Cristian
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By