TOT-CRI-73

Code
TOT-CRI-73
Mercy ID
V-02252-01
Encounter Date
05/22/2006
Last
Totten
First
Cristina
DOB
11/14/1973
County
Dekalb
Street
2035 Idlewood Rd #K
City
Tucker
State
GA
Zip
30084-
Cell
(770) 875-4265
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Transitional
Education Level
Grade school

Spouse Information

Last
Del cid
First
Juan pablo
DOB
N/A
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
Briana Del Cid 11/04/1998 Mother GA/USA
Joshua P. Del Cid 01/03/2001 Mother GA/USA
Yohan A. Del Cid 12/23/1994 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