SAL-MAY-77

Code
SAL-MAY-77
Mercy ID
V-00151-01
Encounter Date
03/29/2000
Last
Saldaña
First
Mayca
DOB
05/12/1977
County
Fulton
Street
532 Cleveland Ave
City
Atlanta
State
GA
Zip
30315-
Home
(404) 305-0768
Family Status
Adult coupie-no children
COB
Panamá
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Perez
First
Diego
DOB
06/20/1973
Address
N/A
Telephone
N/A
COB
Cuba
Home Owner
No
Driver
No
Home Owner
YES
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
D. Gomez
Referred By