Code
SIL-MAR-63
Mercy ID
V-02618-01
Encounter Date
10/11/2007
Last
Silva
First
Maria
DOB
10/02/1963
County
Dekalb
Street
201 Northwood Apt A-4
City
Atlanta
State
GA
Zip
30342-
Home
(770) 875-1090
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Morelos
First
Gaspar
DOB
01/06/1970
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
Aldair Morelos 01/14/1999 Mother GA/USA
Gaspar Morelos 06/19/1993 Mother GA/USA
Luis Morelos 05/26/1995 Mother GA/USA
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
YWCA-Ximena Marincic