VAL-MON-73

Code
VAL-MON-73
Mercy ID
V-00040-01
Encounter Date
01/04/2000
Last
Vallejo
First
Monica
DOB
02/28/1973
County
Gwinnett
Street
1534 square place
City
Norcross
State
GA
Zip
30093-
Home
(770) 414-4232
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Vallejo
First
William
DOB
N/A
Address
N/A
Telephone
N/A
COB
Colombia
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
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
stefany vallejo 10/22/1993 Mother GA/USA
valentino vallejo 02/03/1995 Mother 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
S. Aviña
Referred By