VAL-MAR-71

Code
VAL-MAR-71
Mercy ID
V-02874-01
Encounter Date
08/15/2008
Last
Valladares
First
Maria del pilar
DOB
08/22/1971
County
Cobb
Street
2616 Wind Dr.
City
Marietta
State
GA
Zip
30067-
Cell
(404) 551-0664
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Santiago
First
Miguel
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
No
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
Dino Espinoza V. 01/21/1991 Grandmother Perú
Evelyn P. Espinoza V. 05/12/1990 Grandmother Perú
Karina Moscoll 10/28/1993 Grandmother Perú

Former Spouse 1 Information

Last
Moscol
First
Fermin
DOB
N/A
Telephone
N/A
COB
Perú
Home Owner
No
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
linea-Juana