CAC-MAR-75

Code
CAC-MAR-75
Mercy ID
V-03372-01
Encounter Date
08/16/2010
Last
Caceres
First
Mariela
DOB
05/06/1975
County
Dekalb
Street
1552 Woodlake Dr. Apt. B-2
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 668-1363
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Fuentes
First
Victor
DOB
01/07/1972
Address
N/A
Telephone
N/A
COB
Perú
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
Danna Fuentes 03/20/1995 Parents GA/USA
Sebastian Fuentes 09/18/2002 Parents 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
Tapestri