FRA-EVE-63

Code
FRA-EVE-63
Mercy ID
V-00102-01
Encounter Date
02/23/2000
Last
Franco
First
Evelia
DOB
09/29/1963
County
Dekalb
Street
130 Surrey Circle Apt. 4
City
Chamblee
State
GA
Zip
30341-
Home
(000) 000-0000
Cell
(000) 000-0000
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Transitional
Education Level
Grade school

Spouse Information

Last
Martinez
First
Eduardo
DOB
10/13/1960
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
Edgar Martinez 07/16/1994 Parents GA/USA
Eduardo Martinez 05/23/1985 Parents GA/USA
Edwin Martinez 12/22/1989 Parents GA/USA
Emanuel Martinez 05/30/1986 Parents GA/USA
Enrique Martinez 12/04/1996 Parents GA/USA
Esteban Martinez 01/20/1993 Parents GA/USA
Melisa Martinez 08/27/1987 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