PAL-JUL-89

Code
PAL-JUL-89
Mercy ID
V-03236-02
Encounter Date
02/02/2010
Last
Palestino
First
Julio
DOB
04/21/1989
County
Dekalb
Street
4181 Woodwing Court
City
Doraville
State
GA
Zip
30360-
Cell
(678) 913-8979
Family Status
Two parent family w/children
COB
USA
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Merino
First
Maritza
DOB
N/A
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
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
Giselle Palestino N/A Parents GA/USA
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea-Juana