MEN-CRI-84

Code
MEN-CRI-84
Mercy ID
V-02424-01
Encounter Date
05/01/2007
Last
Mendoza
First
Cristina
DOB
07/24/1984
County
Gwinnett
Street
1635 Pirkle Rd. Apt. 1520
City
Norcross
State
GA
Zip
30093-
Cell
(404) 425-8446
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Martinez
First
Angel
DOB
03/07/1970
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
Adolfo Martinez 03/22/2001 Parents GA/USA
Ivan Martinez 04/02/2000 Parents GA/USA
Juan Carlos Martinez 01/21/2003 Parents GA/USA
Mariana Martinez 10/12/2004 Parents GA/USA
Rodolfo Martinez 03/22/2001 Parents GA/USA
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
Consejera Catherine Gacia