XOC-MEL-72

Code
XOC-MEL-72
Mercy ID
V-00335-01
Encounter Date
11/08/2000
Last
Xochihua
First
Melba
DOB
02/18/1972
County
Fulton
Street
6941 roswell rd apt-e
City
Atlanta
State
GA
Zip
30328-
Home
(770) 350-6224
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Xochihua
First
Eduardo
DOB
12/08/1973
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
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
eduardo xochihua 08/24/1999 Parents GA/USA
gerson xochihua 06/25/1998 Parents GA/USA
gretchen xochihua 02/21/1997 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
S. Aviña
Referred By
mitchell roman