PER-HAY-80

Code
PER-HAY-80
Mercy ID
V-02338-01
Encounter Date
10/09/2006
Last
Peralta
First
Hayra
DOB
08/15/1980
County
Fulton
Street
1951 S. Hampton Rd.
City
College park
State
GA
Zip
30349-
Cell
(404) 399-8999
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Peralta
First
Ramon
DOB
02/14/1974
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
Carolina Peralta 10/03/2003 Parents GA/USA
Geena Peralta 09/04/2002 Parents GA/USA
Melvin Soto 06/09/1999 Grandparents Mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Legal Aid-Norma Smith