PIN-YES-77

Code
PIN-YES-77
Mercy ID
V-02134-01
Encounter Date
11/30/2005
Last
Pineda
First
Yesica
DOB
02/21/1977
County
Dekalb
Street
1451 Briarwood Rd #33
City
Atlanta
State
GA
Zip
30319-
Home
(770) 478-9633
Cell
(404) 418-2447
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Rojas
First
Raul
DOB
N/A
Address
N/A
Telephone
N/A
COB
El Salvador
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
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
Anselma Y Pineda 06/13/2001 Parents GA/USA
Norly Arturo Pineda 11/10/1997 Grandmother El Salvador
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
Fabiola Gomez