MOR-CRI-77

Code
MOR-CRI-77
Mercy ID
V-02213-01
Encounter Date
03/15/2006
Last
Morales
First
Cristina
DOB
11/15/1977
County
Other
Street
not given
City
Not given
State
GA
Zip
00000-
Home
(678) 476-0873
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Shelter
Education Level
Grade school

Spouse Information

Last
Telles
First
Pedro
DOB
04/25/1977
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
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
Angel Noel Morales 07/15/2005 Mother GA/USA
Sara Imy Morales 07/05/2004 Mother GA/USA
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