Code
MER-CES-74
Mercy ID
V-03114-02
Encounter Date
07/14/2009
Last
Mercado
First
Cesar
DOB
01/13/1974
County
Dekalb
Street
2300 Global Forum Blvd. # 523
City
Doraville
Probation Officer/Caseworker
J. Waindle
State
GA
Zip
30340-
Home
(678) 927-4974
Work
(404) 633-1188
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Reyna
DOB
09/06/1983
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
Maria Mercado 02/17/2006 Parents GA/USA
Richard Sandoval 12/20/2001 Parents GA/USA
Valentin Mercado 02/14/2007 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea-Deaklb Cty court