TIR-MAR-76

Code
TIR-MAR-76
Mercy ID
V-02616-01
Encounter Date
10/10/2007
Last
Tirado
First
Maria milagros
DOB
06/15/1976
County
Gwinnett
Street
5165 Harbins Point Lan NW
City
Lilburn
State
GA
Zip
30047-
Cell
(404) 933-6042
Work
(770) 449-7472
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Silva
First
Batolo
DOB
08/26/1963
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
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
Julian Silva 08/09/2000 Parents GA/USA
Julisa Silva 09/26/2002 Parents GA/USA
Maomi Silva 10/21/2001 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
walkin