Code
VEN-MAR-70
Mercy ID
V-00441-01
Encounter Date
03/08/2001
Last
Vences
First
Maria angeles
DOB
02/01/1970
County
Cobb
Street
1795 Donnalynn Dr.
City
Smyrna
State
GA
Zip
30080-
Home
(678) 488-3211
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Trujillo
First
Jose dolores
DOB
02/10/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Cristal Trujillo 02/15/1998 Mother GA/USA
Jennifer Vences 08/07/1990 Mother GA/USA
Joseph Vences 05/17/1994 Mother GA/USA
Leyly Vences 03/19/1988 Mother GA/USA
Lisbeth Vences 07/15/1989 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
x7764 Ma. Eugenia YWCA Cobb County