SOL-MAR-60

Code
SOL-MAR-60
Mercy ID
V-00897-01
Encounter Date
04/17/2002
Last
Solano
First
Marta
DOB
12/02/1960
County
Gwinnett
Street
925 Horizon Parkway
City
Buford
State
GA
Zip
30518-
Home
(770) 932-2174
Family Status
Two parent family w/children
COB
Costa Rica
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Campos
First
Daniel
DOB
08/25/1958
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
Alejandro 12/27/1989 N/A GA/USA
Juan Jose Campos 02/02/1981 N/A GA/USA
Maria Angelica 07/06/1986 N/A GA/USA
Rosa Karina 05/05/1995 N/A 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 Ma. Eugenia