TOV-CLA-78

Code
TOV-CLA-78
Mercy ID
V-01997-01
Encounter Date
07/29/2005
Last
Tovar
First
Claudia
DOB
01/29/1978
County
Gwinnett
Street
3728 Burnt Leaf Lane
City
Snellville
State
GA
Zip
30039-
Cell
(770) 905-1810
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Tovar
First
Jesus
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
Daniela Tovar 11/27/2003 Parents GA/USA
Jesus Tovar Jr. 11/02/1997 Parents GA/USA
Josue Tovar 09/13/2000 Parents GA/USA
Kelvin Tovar 10/12/1998 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By