TRI-EDI-75

Code
TRI-EDI-75
Mercy ID
V-02276-01
Encounter Date
06/21/2006
Last
Trinidad
First
Edith
DOB
04/09/1975
County
Gwinnett
Street
1101 Hamton Cross
City
Norcross
State
GA
Zip
30093-
Home
(678) 924-0605
Cell
(404) 383-0607
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Trinidad
First
Edmundo
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
YES
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
YES

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
David Trinidad 12/10/2005 Mother GA/USA
Edmundo Trinidad Jr 12/13/1999 Mother GA/USA
Velaria X Trinidad 03/02/1996 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