SAL-HER-57

Code
SAL-HER-57
Mercy ID
V-01077-01
Encounter Date
01/10/2003
Last
Salcido
First
Hermila
DOB
07/17/1957
County
Dekalb
Street
3936 Pleasant Dr.
City
Doraville
State
GA
Zip
30340-
Home
(770) 455-9634
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Salcido
First
Aurelio
DOB
01/10/1952
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
Adriana Salcido 04/24/1980 Mother GA/USA
Mayra Patricia Salcido 10/18/1987 Mother GA/USA
Melissa 01/03/1992 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
K. Aleman
Referred By
x3737 Damariz