SAL-JUL-70

Code
SAL-JUL-70
Mercy ID
V-00175-01
Encounter Date
04/13/2000
Last
Salas
First
Julieta
DOB
07/30/1970
County
Fulton
Street
709 -a- Lindberg Dr.
City
Atlanta
State
GA
Zip
30324-
Home
(404) 816-8085
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Vasquez
First
Miguel angel
DOB
09/30/1964
Address
1165 la Vista Rd #312 Atlanta, Ga 30324
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
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
Miguel Angel Vasquez 07/30/1993 Mother GA/USA
Wesdley Vasquez 05/03/1992 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
D. Gomez
Referred By
X-7764 Liliana