SAL-MAR-67

Code
SAL-MAR-67
Mercy ID
V-00869-01
Encounter Date
03/20/2002
Last
Salazar
First
Marta
DOB
09/20/1967
County
Gwinnett
Street
4282 Invernest Rd.
City
Duluth
State
GA
Zip
30096-
Home
(770) 368-8770
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Salazar
First
Martin
DOB
08/21/1966
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
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
Ivan Salazar 06/03/1988 N/A GA/USA
Jaretsi Salazar 07/28/1999 Parents GA/USA
Javir Martin Salazar 08/07/1997 Parents GA/USA
Julio Oropeza 10/09/1988 Mother w/Stepfather 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