VIL-MAR-71

Code
VIL-MAR-71
Mercy ID
V-01392-01
Encounter Date
10/24/2003
Last
Villanueva
First
Maria hely
DOB
05/06/1971
County
Dekalb
Street
1843 Skyland Terrace Apt. A
City
Atlanta
State
GA
Zip
30319-
Home
(404) 933-7739
Cell
(404) 638-6899
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Mata
First
Jose
DOB
09/19/1977
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
YES
Consentimiento De Participar
YES

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
Benjamin Herrera 07/06/1991 Mother w/Stepfather GA/USA
Genesis Mata 01/11/2002 Parents GA/USA
Jessica Herrera 11/22/1993 Mother w/Stepfather GA/USA
Jocelyn Herrera 11/25/1995 Mother w/Stepfather GA/USA
Jose Daniel Mata 09/12/1998 Parents 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