VEN-ANG-58

Code
VEN-ANG-58
Mercy ID
V-00528-01
Encounter Date
10/09/2002
Last
Ventura
First
Angela
DOB
07/04/1958
County
Dekalb
Street
3028 Chamblee Tucker Rd. C-7
City
Atlanta
State
GA
Zip
30341-
Home
(678) 886-2736
Family Status
Two parent family w/children
COB
Dominican Rep
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Ventura
First
Valerio
DOB
04/26/1954
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Dewy Ventura 12/17/1983 Parents GA/USA
Valerio Ventura 08/08/1986 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
K. Aleman
Referred By
x7764 Rebeca