PAL-LCA-77

Code
PAL-LCA-77
Mercy ID
V-03323-01
Encounter Date
05/06/2010
Last
Palacios
First
Clara
DOB
08/12/1977
County
Dekalb
Street
3506 Buford Hwy Apt. B-3
City
Atlanta
State
GA
Zip
30329-
Cell
(770) 875-8257
Work
(404) 240-1978
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical

Spouse Information

Last
Torres
First
Hilario
DOB
10/21/1975
Address
N/A
Telephone
N/A
COB
Honduras
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
YES
Consentimiento De Participar
YES

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
Emmanuel Bello 06/19/2003 Mother w/Stepfather GA/USA
Justin Torres 10/19/2006 Parents GA/USA
Kevin Bello 11/08/1998 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
corte-dekalb