VAL-CAN-66

Code
VAL-CAN-66
Mercy ID
V-00171-01
Encounter Date
04/05/2000
Last
Valdovino
First
Consuelo
DOB
02/25/1966
County
Fulton
Street
1947 dulab av apt 7
City
East point
State
GA
Zip
30344-
Home
(404) 684-9332
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Chavarria
First
Juan
DOB
09/14/1971
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
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
francisco javier valdovino 12/05/1983 Mother w/Stepfather GA/USA
juan antonio quintero 06/13/1985 Mother w/Stepfather GA/USA
lorena rivera 09/11/1989 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
S. Aviña
Referred By