MAR-JOS-66

Code
MAR-JOS-66
Mercy ID
V-00248-01
Encounter Date
07/18/2000
Last
Martinez
First
Josefina
DOB
03/19/1966
County
Fulton
Street
5140 Jonesboro Rd.
City
Union city
State
GA
Zip
30291-
Home
(770) 306-8192
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Martinez
First
Enemorio
DOB
09/07/1962
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Adriana Martinez 07/20/1995 Parents GA/USA
Mario Martinez 10/11/2002 Parents GA/USA
Paola Martinez 07/24/1990 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By
linea-Juana