ORE-SAN-68

Code
ORE-SAN-68
Mercy ID
V-00328-01
Encounter Date
11/01/2000
Last
Orellana
First
Sandra
DOB
02/06/1968
County
Dekalb
Street
2552 Presidents Walk
City
Tucker
State
GA
Zip
30084-
Home
(770) 621-0947
Family Status
Single adult
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Linares
First
Freddy
DOB
05/20/1968
Address
N/A
Telephone
N/A
COB
Guatemala
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
YES
Consentimiento De Participar
YES

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
Antonio linares 05/10/1994 Mother GA/USA
Freddy linares 12/14/1992 Mother GA/USA
Jason linares 08/26/1999 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By