SAL-GUA-68

Code
SAL-GUA-68
Mercy ID
V-00590-01
Encounter Date
06/28/2001
Last
Salinas
First
Guadalupe
DOB
12/21/1968
County
Dekalb
Street
2095 Burton Plaza E-1
City
Atlanta
State
GA
Zip
30319-
Home
(404) 417-9341
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Salias
First
Arturo
DOB
09/30/1968
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
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
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
Arturo Salinas 12/02/1992 Parents GA/USA
Elsi Nereida Salinas 08/28/1987 Parents GA/USA
Haref 11/06/1996 Parents GA/USA
Jasiel 12/03/1993 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
x7764 Rebecca