WIL-MAR-58

Code
WIL-MAR-58
Mercy ID
V-00113-01
Encounter Date
02/17/2000
Last
Wilson
First
Martha
DOB
02/28/1958
County
Cobb
Street
1235 Mountain Spring Dr.
City
Kenessaw
State
GA
Zip
30064-
Home
(678) 290-1243
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Wilson
First
Randal
DOB
08/08/1959
Address
N/A
Telephone
N/A
COB
EEUU
Home Owner
YES
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
YES
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
Edward Alexander Wilson 04/13/1999 Mother GA/USA
Randall Wilson II 06/09/1995 Mother 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
S. Aviña
Referred By