Code
JOA-MAR-85
Mercy ID
V-02758-01
Encounter Date
04/16/2008
Last
Joaquin
First
Marvella
DOB
12/06/1985
County
Dekalb
Street
3532 Buford Hwy Apt. Apt. 7
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 484-7757
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Morales
First
Armando
DOB
02/19/1979
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
Diana Morales 06/11/2007 Parents GA/USA
Jocelyn Murillo 04/04/2005 Mother w/Stepfather GA/USA
Yessica Jasmin Morales 06/13/2008 Mother GA/USA
NOTES

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