UMA-SIL-68

Code
UMA-SIL-68
Mercy ID
V-00166-01
Encounter Date
06/26/2001
Last
Umaña
First
Silvia
DOB
03/14/1968
County
Dekalb
Street
3700 bufford hwy apt 63
City
Atlanta
State
GA
Zip
30329-
Home
(770) 216-9688
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Dominguez
First
Ricardo
DOB
03/23/1972
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
No
Consentimiento De Participar
No

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
Katia Blandon N/A N/A GA/USA
Moises Blandon N/A N/A GA/USA
Richard Dominguez N/A N/A GA/USA
NOTES
katia blandon se fue de la casa

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
S. Aviña
Referred By