Code
CAL-MAR-70
Mercy ID
V-02476-01
Encounter Date
04/23/2007
Last
Calvillo
First
Maria matilde
DOB
03/14/1970
County
Dekalb
Street
506 Winter Park Dr.
City
Doraville
State
GA
Zip
30360-
Cell
(404) 438-2872
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Trujillo
First
Pedro
DOB
04/29/1957
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
YES
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Ana Trujillo 09/14/1996 Parents GA/USA
Juan Cecilio Trujillo 11/22/1991 Parents GA/USA
Maria Trujillo 08/11/1990 Parents GA/USA
Pedro Trujillo 12/24/1987 Parents GA/USA
Susana Trujillo 01/09/1995 Parents 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
escuela