VIL-IRM-74

Code
VIL-IRM-74
Mercy ID
V-02506-01
Encounter Date
05/30/2007
Last
Villatoro
First
Irma
DOB
05/13/1974
County
Cobb
Street
671 Aire Rd.
City
Mableton
State
GA
Zip
30126-
Home
(770) 940-2837
Cell
(770) 941-2837
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Adult, no formal education

Spouse Information

Last
Medrano
First
Santos
DOB
N/A
Address
N/A
Telephone
N/A
COB
El Salvador
Home Owner
YES
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
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Cristian Medrano 08/23/2004 Parents GA/USA
Omar Medrano 09/04/1998 Parents GA/USA
Patricia Medrano 03/24/1994 Parents GA/USA
Santos Medrano 08/31/1996 Parents GA/USA
Selena Medrano 11/16/2002 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