MAR-BER-68

Code
MAR-BER-68
Mercy ID
V-02520-02
Encounter Date
06/19/2007
Last
Martinez
First
Bernardo
DOB
08/20/1968
County
Fulton
Street
1198 Long Lane
City
Roswell
State
GA
Zip
30076-
Home
(678) 252-7226
Cell
(678) 558-5366
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Valle
First
Monica
DOB
08/18/1973
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
Arlet Angie Martinez 12/14/1998 Parents GA/USA
Dayra Martinez 11/16/1993 Parents GA/USA
Justin Bernardo 12/20/2007 Parents GA/USA
Monica Karlota Valle 02/23/1992 Mother w/Stepfather GA/USA
Niberardo Martinez 02/07/1989 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
Corte de Fulton