SAL-JUA-71

Code
SAL-JUA-71
Mercy ID
V-00238-01
Encounter Date
06/12/2000
Last
Salas
First
Juana
DOB
05/08/1971
County
Other
Street
1228 pean Valley
City
Gainesville
State
GA
Zip
30501-
Home
(770) 297-5096
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Cordero
First
Victor
Middle
M.
DOB
02/16/1966
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
No
Consentimiento De Participar
No

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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Estrlla Cordero 09/20/1999 Parents GA/USA
Lucero Ivett Cordero 03/09/1992 Parents GA/USA
Victor Manuel Cordero 05/12/1998 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
D. Gomez
Referred By