SAL-CIN-89

Code
SAL-CIN-89
Mercy ID
V-03436-01
Encounter Date
10/05/2010
Last
Salgado
First
Cinthia
DOB
03/27/1989
County
Dekalb
Street
2195 Dresden Dr.
City
Atlanta
State
GA
Zip
30341-
Cell
(404) 552-6734
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Jimenez
First
Victor
DOB
02/05/1987
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
No
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
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Brianna Jimenez 08/30/2010 Parents GA/USA
Jennifer Zetina 05/29/2005 Mother w/Stepfather GA/USA
Marc Salgado 06/18/2009 Parents GA/USA
Saly Salgado 06/23/2004 Mother w/Stepfather GA/USA
Victor Jr. Jimenez 06/29/2007 Parents GA/USA
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
Jacqueline