MAL-HAY-77

Code
MAL-HAY-77
Mercy ID
V-00439-01
Encounter Date
03/07/2001
Last
Carbajal
First
Haydee
DOB
02/10/1977
County
Fulton
Street
603 Monterrey Parkway
City
Atlanta
State
GA
Zip
30350-
Home
(770) 351-9468
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Carbajal
First
Rosendo
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
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
Isamary Maldonado 11/19/1994 Grandparents California
Nallely Carbajal 12/12/2001 Mother w/Stepfather GA/USA
Rosendo Carbajal 10/07/2000 Mother w/Stepfather GA/USA
Talia Maldonado 02/27/1998 Father w/Stepmother GA/USA
Yalitza Maldonado 08/08/1996 Father w/Stepmother 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
amiga