Code
VEL-NOR-65
Mercy ID
V-02312-01
Encounter Date
07/25/2006
Last
Velasco
First
Nora
DOB
05/09/1965
County
Cherokee
Street
238 Hillcrest
City
Canton
State
GA
Zip
30115-
Cell
(404) 642-7277
Work
(770) 345-8311
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Not Homeless

Spouse Information

Last
Argueta
First
Daniel
DOB
N/A
Address
N/A
Telephone
N/A
COB
El Salvador
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Bryant Argueta 04/27/1997 Parents GA/USA
Wendy Argueta 10/21/1996 Parents 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
J. Manzo
Referred By
1375 Fabi