CAR-JOV-73

Code
CAR-JOV-73
Mercy ID
V-01220-01
Encounter Date
10/03/2003
Last
Carrranza
First
Jovita
DOB
08/04/1973
County
Cobb
Street
1821 Killarney Dr.
City
Marietta
State
GA
Zip
30008-
Home
(770) 636-5735
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Solache
First
Juan
DOB
01/06/1975
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
YES
Relative
YES
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Ana Ivette Solache 07/15/1996 Parents GA/USA
Edwin Ulises Solache 12/21/1996 Parents GA/USA
Kaitlyn Maria Solache 08/27/1999 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
x3737