CEB-MEL-58

Code
CEB-MEL-58
Mercy ID
V-00555-01
Encounter Date
07/06/2001
Last
Llanos
First
Melida
DOB
09/12/1958
County
Dekalb
Street
4634 Pigeon Island Dr.
City
Decatur
State
GA
Zip
30035-
Home
(770) 593-2495
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Ceballos
First
Hoover
DOB
10/01/1953
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
Jesus David Ceballos 09/02/1992 Parents GA/USA
Melissa Maria Ceballos 05/09/1991 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
K. Aleman
Referred By
Mi Hermano/ Ronald Cursillos de Cristianidad