TAB-ROS-80

Code
TAB-ROS-80
Mercy ID
V-01499-01
Encounter Date
02/24/2004
Last
Tabora mxze
First
Rosa lidia
DOB
07/15/1980
County
Dekalb
Street
Shelter
City
Not given
State
GA
Zip
00000-0000
Home
(404) 297-5753
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Shelter
Education Level
Adult, no formal education

Spouse Information

Last
Mxze
First
Walter
DOB
01/24/1975
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
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Ana Paola Tabora 04/15/2001 Mother GA/USA
Karla Patricia Tabora 01/17/1996 N/A 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
x1375 Damaryz