VAL-MAR-73

Code
VAL-MAR-73
Mercy ID
V-02520-01
Encounter Date
06/08/2007
Last
Valle
First
Maria elena
DOB
08/18/1973
County
Fulton
Street
1198 Lowe Lane
City
Roswell
State
GA
Zip
30076-
Cell
(678) 558-5366
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Martinez
First
Bernardo
DOB
08/20/1968
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
YES
Consentimiento De Participar
YES

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
Arlet Angie Martinez 12/14/1998 Parents GA/USA
Dayra Matinez 11/16/1993 Parents GA/USA
Justin Martinez 12/20/2007 Parents GA/USA
Monica Karlota Valle 02/23/1992 Mother w/Stepfather GA/USA
Niberardo Martinez 02/07/1989 Mother w/Stepfather 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
J. Manzo
Referred By