SAA-MAR-82

Code
SAA-MAR-82
Mercy ID
V-03384-01
Encounter Date
07/30/2010
Last
Saavedra
First
Maria elena
DOB
08/17/1982
County
Dekalb
Street
3201 Henderson Mill Rd. # 21 C
City
Atlanta
State
GA
Zip
30341-
Cell
(404) 399-9541
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
Consentimiento De Participar
YES

Petitioner

TPO
YES
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
Daniel Rodriguez 12/12/2003 Mother GA/USA
Darihing Elvir 01/02/2009 Mother GA/USA
Jacqueline Sabreda 10/26/2001 Mother GA/USA

Former Spouse 1 Information

Last
Elvir
First
Darguin
DOB
04/24/1986
Telephone
N/A
COB
Honduras
Home Owner
No
NOTES

Media Authoritation

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