MAR-VIC-75

Code
MAR-VIC-75
Mercy ID
V-02750-01
Encounter Date
04/15/2008
Last
Marr
First
Victoria
DOB
09/01/1975
County
Dekalb
Street
999 No se sabe
City
No se sabe
State
GA
Zip
30341-
Family Status
Single adult
COB
USA
Gender
Female
Housing
Other
Education Level
Other

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Former Spouse 1 Information

Last
Rojas
First
Juan manuel
DOB
02/12/1976
Telephone
(678) 425-3354
COB
Mexico
Home Owner
No
NOTES
*****NO SE PUDO HACER CONTACTO CON ELLA. SE CONTACTO LA CORTE Y ELLOS NO TIENEN NINGUN DATO DE ELLA******

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
Felipe