MOR-ALM-84

Code
MOR-ALM-84
Mercy ID
V-02292-01
Encounter Date
08/15/2006
Last
Moreno
First
Alma
DOB
03/25/1984
County
Dekalb
Street
4203 Buford Hwy
City
Atlanta
State
GA
Zip
30345-
Home
(404) 808-0834
Cell
(678) 732-8618
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Valente mayo
First
Santos
DOB
01/23/1974
Address
N/A
Telephone
(678) 608-5173
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
Damaris Valente 06/25/2002 Grandparents mexico
Jerson Valente 07/25/2005 Parents GA/USA
Nahum Valente 04/19/2000 Grandparents Mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
Felip