VAR-JUL-65

Code
VAR-JUL-65
Mercy ID
V-01120-01
Encounter Date
02/06/2003
Last
Vargas
First
Julissa
DOB
07/27/1965
County
Gwinnett
Street
1167 Castle Way
City
Norcross
State
GA
Zip
30093-3813
Home
(678) 380-6742
Cell
(404) 427-2552
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Zeidan
First
Toni
DOB
01/25/1961
Address
N/A
Telephone
N/A
COB
Other
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
Antoni 12/09/2002 Parents GA/USA
Marta Zarahi 03/09/1996 Parents GA/USA
Natali 03/26/1998 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By