CES-VIR-76

Code
CES-VIR-76
Mercy ID
V-02453-01
Encounter Date
04/02/2007
Last
Calderon
First
Virgen
DOB
01/09/1976
County
Dekalb
Street
2106 Buford Hwy #-H
City
Atlanta
Probation Officer/Caseworker
Waindle
State
GA
Zip
30329-
Home
(404) 636-4450
Cell
(678) 558-3612
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Cuevas
First
Juan jose
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Daniel Vaca 03/04/1997 Father California
Juan Carlos Cueva 05/10/2005 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
Linea-Juana