MAL-DIO-78

Code
MAL-DIO-78
Mercy ID
V-02115-02
Encounter Date
12/20/2005
Last
Maldonado
First
Dionicio
DOB
10/21/1978
County
Dekalb
Street
2986 Dresden Dr
City
Chamblee
State
GA
Zip
30341-
Cell
(678) 549-2605
Family Status
Two parent family w/children
COB
Honduras
Gender
Male
Housing
Other
Education Level
Grade school

Spouse Information

Last
Ramos
First
Blanca
DOB
01/22/1982
Address
N/A
Telephone
N/A
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
Andy Maldonado 05/09/2005 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
R. Gonzalez
Referred By
Dekalb