SAL-MAR-70

Code
SAL-MAR-70
Mercy ID
V-02217-01
Encounter Date
03/30/2006
Last
Salinas
First
Maria eugenia
DOB
03/19/1970
County
Dekalb
Street
1337 North Valley Way
City
Atlanta
State
GA
Zip
30340-
Home
(404) 486-8767
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Martinez r
First
Manuel
DOB
07/28/1968
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
No
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
Carlos E. Martinez 01/10/1995 Mother w/Stepfather GA/USA
Laura Ibeth Martinez 10/19/1990 Parents GA/USA
Manuel Martinez 07/08/2000 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
Asociacion Latina