PER-ALM-72

Code
PER-ALM-72
Mercy ID
V-02150-01
Encounter Date
01/27/2006
Last
Perez
First
Alma lilia
DOB
10/04/1972
County
Gwinnett
Street
7600 Spring Ln Apt A
City
Norcross
State
GA
Zip
30092-
Cell
(404) 493-4474
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Salinas
First
Salvador
DOB
06/22/1968
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
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
Lina Salinas 08/19/1994 Parents GA/USA
Priscilla Perez 03/10/1993 Parents GA/USA
Samantha Perez 01/24/1991 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
R. Gonzalez
Referred By