VAL-BAR-78

Code
VAL-BAR-78
Mercy ID
V-00384-01
Encounter Date
01/15/2001
Last
Valladares
First
Barbara
DOB
03/13/1978
County
Dekalb
Street
178 Prince Anthony Dr.
City
Lawrenceville
State
GA
Zip
30345-
Home
(770) 315-1029
Cell
(770) 315-1029
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Ibarra
First
rex-osualdo
DOB
01/15/1976
Address
N/A
Telephone
N/A
COB
El Salvador
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
jeffrey alexander valladares 08/12/1997 Mother w/Stepfather GA/USA
rex adrian ibarra 12/12/1998 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
S. Aviña
Referred By
7764 ma eugenia