VIL-MON-64

Code
VIL-MON-64
Mercy ID
V-01491-01
Encounter Date
02/11/2004
Last
Villareal
First
Monica
DOB
05/04/1964
County
Fulton
Street
1343 Grann Crique Dr. Apt A
City
Roswell
State
GA
Zip
30076-
Home
(678) 760-2700
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
White
First
Carl
DOB
N/A
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
Alvaro N/A N/A GA/USA
Daze White 09/14/2000 Parents GA/USA
NOTES
INS-Juana requested her file to be at CMS 5/4/2004

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
Rakia (abogada)