SAL-MAR-78

Code
SAL-MAR-78
Mercy ID
V-01218-01
Encounter Date
05/09/2003
Last
Salazar
First
Maria del
DOB
03/16/1978
County
Clayton
Street
5767 Wesson Ct.
City
Elenwood Ct.
State
GA
Zip
30294-
Home
(404) 366-9615
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Escorza
First
Roberto
DOB
11/02/1976
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Janeli Escorza 08/04/1998 Mother GA/USA
Paula Escorza 08/07/1995 Mother GA/USA
Roberto Escorza 10/04/2000 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 Damaryz