CAP-CAR-51

Code
CAP-CAR-51
Mercy ID
V-00371-01
Encounter Date
12/27/2000
Last
Capelini
First
Carmenza
DOB
02/03/1951
County
Cobb
Street
206 Cherokee Dr.
City
Austell
State
GA
Zip
30168-
Home
(770) 739-7674
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
Claudia 02/24/1968 Adulto/Casado GA/USA
Deni 09/22/1980 Father GA/USA
Filipo 09/16/1967 Adulto/Casado GA/USA
Josepe C. 08/21/1965 Adulto/Casado GA/USA
Jovani 12/20/1975 Father 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
x7764 Rebecca