DUE-MAR-82

Code
DUE-MAR-82
Mercy ID
V-03419-01
Encounter Date
09/13/2010
Last
Dueñes
First
Maribel
DOB
07/25/1982
County
Fulton
Street
2453 Coronet Way
City
Atlanta
State
GA
Zip
30318-
Cell
(404) 781-5379
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Torres
First
Federico
DOB
10/07/1973
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Angel Torres 02/23/2008 Parents GA/USA
Christian Torres 08/23/2006 Parents GA/USA
Jeff Torres 07/20/2009 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
Linea-Juana