SAL-KAR-88

Code
SAL-KAR-88
Mercy ID
V-02639-01
Encounter Date
11/07/2007
Last
Salinas
First
Karla
DOB
10/18/1988
County
Gwinnett
Street
400 Willoaks Dr. Apt. A
City
Snellville
State
GA
Zip
30039-
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Cruz
First
Pedro
DOB
10/03/1982
Address
N/A
Telephone
(404) 379-9853
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
YES
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
Christopher Cruz 09/25/2004 Grandparents Mexico
Daniel Cruz 01/06/2009 Mother GA/USA
Erik Cruz 09/24/2002 Grandparents Mexico
Kimberly Cruz 05/27/2007 Mother GA/USA
NOTES
2009-NO ANNUAL RETURN.

Media Authoritation

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