AMO-TAL-84

Code
AMO-TAL-84
Mercy ID
V-02262-01
Encounter Date
06/06/2006
Last
Amorim
First
Talita
DOB
10/02/1984
County
Cobb
Street
2085 Roswell Rd Apt-1831
City
Marietta
State
GA
Zip
30062-
Cell
(404) 402-0532
Family Status
Two parent family w/children
COB
Brazil
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Olivera
First
Carlos a
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
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
Lucas Olivera 03/21/2005 Parents GA/USA
Sara Olivera 03/28/2004 Parents GA/USA
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****

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
Ximena de YWCA