PON-MAR-61

Code
PON-MAR-61
Mercy ID
V-00662-01
Encounter Date
08/17/2001
Last
Ponce
First
Martha
DOB
04/05/1961
County
Dekalb
Street
1750 Briarwood Rd. Ne
City
Atlanta
State
GA
Zip
30329-
Home
(404) 634-6084
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Ponce
First
Hugo
Middle
J.
DOB
04/24/1974
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
Daniela Andrea Ponce 10/18/2000 Mother GA/USA
Marcela Jural 08/12/1985 Mother 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