DES-MAR-76

Code
DES-MAR-76
Mercy ID
V-00100-01
Encounter Date
02/24/2000
Last
Desantos
First
Maria angelica
DOB
03/11/1976
County
Gwinnett
Street
571 Overlook Dr.
City
Stone Mt.
State
GA
Zip
30087-
Home
(770) 879-5712
Other
(678) 580-1747
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Desantos
First
Jorge
Middle
A.
DOB
04/15/1971
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
No
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
Jacqueline Veronica DeSantos 10/08/1997 Parents GA/USA
Janet Stephany DeSantos 07/10/1994 Parents GA/USA
Jennifer Vanessa DeSantos 08/10/1995 Parents GA/USA
Jessica Sarahi 03/18/1999 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
Y. Garcia
Referred By