SAL-MAI-73

Code
SAL-MAI-73
Mercy ID
V-02960-01
Encounter Date
12/08/2008
Last
Salazar
First
Maria isabel
DOB
07/08/1973
County
Gwinnett
Street
2026 Hunter Club Lane
City
Norcross
State
GA
Zip
30093-
Cell
(678) 777-0935
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Trejo
First
Jesus
DOB
06/22/1976
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
YES
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

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
Michelle Trejo 11/27/2003 Mother GA/USA
Stephanie Trejo 03/28/2008 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
Sandra Murillo