SER-VIC-66

Code
SER-VIC-66
Mercy ID
V-00747-01
Encounter Date
11/14/2001
Last
Serrano
First
Vicky
DOB
03/17/1966
County
Dekalb
Street
548 South Wing Dr.
City
Lilburn
State
GA
Zip
30047-
Home
(770) 279-7137
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Serrano
First
Jose
DOB
07/15/1965
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
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
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
David Steve Serrano(nieto) 09/25/2000 Grandparents GA/USA
Jose David Serrano Jr. 05/20/2001 Parents GA/USA
Kimberly Jeaninee Serrano 07/02/1999 Parents GA/USA
Vicky E. Serrano 04/17/1983 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