SAG-MAR-73

Code
SAG-MAR-73
Mercy ID
V-02946-01
Encounter Date
11/17/2008
Last
Salgado
First
Maria
DOB
06/06/1973
County
Clayton
Street
604 North Ave.
City
Forest park
State
GA
Zip
30297-
Cell
(404) 707-4015
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

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
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
Ana Caren Salgado 10/22/1992 Mother GA/USA
Angelica Salgado 12/10/2001 Mother GA/USA
Leonardo Salgado 01/18/2005 Mother GA/USA
Ricardo Salgado 06/01/1990 Mother GA/USA
Yajaira Salgado 12/02/1994 Mother GA/USA

Former Spouse 1 Information

Last
Salgado
First
Elio
DOB
07/02/1960
Telephone
N/A
COB
N/A
Home Owner
YES
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-Griselda