Code
CLA-JUL-75
Mercy ID
V-02491-01
Encounter Date
05/14/2007
Last
Claro
First
Julia
DOB
01/21/1975
County
Dekalb
Street
4920 Winterchaper Rd. N-14
City
Doraville
State
GA
Zip
30360-
Home
(404) 396-8648
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Salmeron
First
Rodolfo
DOB
N/A
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
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
Israel Salmeron 07/10/2006 Parents GA/USA
Juliet Salmeron 05/26/2003 Parents GA/USA
Julissa Claro 05/14/1996 Parents GA/USA
Robert Salmeron 12/17/2004 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
Felipe