CAL-CAR-73

Code
CAL-CAR-73
Mercy ID
V-00826-01
Encounter Date
02/08/2002
Last
Calderon
First
Carmen
DOB
01/24/1973
County
Gwinnett
Street
6259 Norcross Tucker Rd.
City
Tucker
State
GA
Zip
30084-
Home
(770) 934-5320
Family Status
Two parent family w/children
COB
Puerto Rico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical

Spouse Information

Last
Rivera
First
Onis raul
DOB
08/09/1972
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
No
Consentimiento De Participar
No

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
Chermin Rivera 08/20/2001 Parents GA/USA
James Rivera 10/26/1995 Parents 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
x7764 Rebecca