ROM-DEL-74

Code
ROM-DEL-74
Mercy ID
V-02407-01
Encounter Date
02/08/2007
Last
Romero
First
Delfina
DOB
12/14/1974
County
Cobb
Street
1096 Atlanta Road Lot D-34
City
Marietta
State
GA
Zip
30060-
Cell
(404) 396-8967
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Mercado
First
Arnulfo
DOB
06/03/1973
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
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
Adriana Mercado 08/16/1992 Mother GA/USA
Alicia Mercado 06/20/2003 Mother GA/USA
Gerardo Mercado 04/17/1999 Mother GA/USA
Jose Mercado 08/09/1993 Mother GA/USA
NOTES
*****2008, NO SE CONTACTO, NO A.R.*****

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By