ZAR-SIL-63

Code
ZAR-SIL-63
Mercy ID
V-00148-01
Encounter Date
03/24/2000
Last
Zarate
First
Silvia
DOB
10/11/1963
County
Dekalb
Street
3814 Buford HWY Apt. B-1
City
Atlanta
State
GA
Zip
30329-
Home
(404) 634-7917
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Salazar
First
Ricardo
DOB
06/11/1972
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
Isela Leon 09/23/1991 Mother GA/USA
Juan Carlos Zalazar 03/16/1999 Mother GA/USA
Marcos Zalazar 02/13/2001 Mother GA/USA
Monica Leon 07/12/1987 Mother GA/USA
Silvia Gabriela Salazar 01/13/1997 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
Y. Garcia
Referred By
Jerry 7764