DEP-CEC-82

Code
DEP-CEC-82
Mercy ID
V-02579-01
Encounter Date
08/29/2007
Last
De paz
First
Cecilia
DOB
02/24/1982
County
Dekalb
Street
110 High Court Pl. Apt. 8-K
City
Decatur
State
GA
Zip
30032-
Cell
(678) 531-5683
Other
(678) 855-5783
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Perez
First
Luis ernesto
DOB
06/26/1980
Address
N/A
Telephone
(678) 855-5783
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
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
Isac Perez 08/09/2006 Parents GA/USA
Neliza Perez 08/10/2002 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