CAM-NEL-76

Code
CAM-NEL-76
Mercy ID
V-00742-01
Encounter Date
11/09/2001
Last
Camacho
First
Nelida
DOB
11/21/1976
County
Gwinnett
Street
3343 Fowter Blv.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 923-2248
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Camacho
First
Pedro
DOB
N/A
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
Francisco Camacho 08/07/1994 Mother GA/USA
Odalis Camacho 03/09/1997 Mother GA/USA
Pedro Camacho 02/12/1993 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 Michelle and Latin American Asso.