CAL-MER-79

Code
CAL-MER-79
Mercy ID
V-02863-01
Encounter Date
08/04/2008
Last
Calderos
First
Merly
DOB
09/24/1979
County
Other
Street
NO LO DIO
City
Houston
State
TX
Zip
77084-
Cell
(404) 935-8554
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
College Degree

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
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
Mauricio Tragodara 04/04/2000 Mother GA/USA

Former Spouse 1 Information

Last
Tragodara
First
Jorge
DOB
06/20/1979
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

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
linea-Juana