TOR-ANT-52

Code
TOR-ANT-52
Mercy ID
V-00765-01
Encounter Date
12/03/2001
Last
Torrez
First
Antonia
DOB
01/20/1952
County
Dekalb
Street
3490 Chamblee
City
Chamblee
State
GA
Zip
30341-
Home
(770) 454-9395
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Torrez
First
Jose
DOB
09/14/1949
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
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
Edilia N/A N/A Mexico
Ferando Torrez N/A N/A Mexico
Imelda Torrez N/A N/A Mexico
Olga Yesenia Torrez N/A N/A Mexico
Reynaldo Torrez N/A N/A Mexico
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
x7764 Rebecca