VAR-ADE-74

Code
VAR-ADE-74
Mercy ID
V-02846-01
Encounter Date
07/01/2008
Last
Vargas
First
Adelina
DOB
02/17/1974
County
Dekalb
Street
6750 Peachtree Ind. Blv. # 502
City
Atlanta
State
GA
Zip
30360-
Cell
(404) 484-7409
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Preschool

Spouse Information

Last
Cambron
First
Miguel
DOB
N/A
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
YES
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
Dayana Cambron 05/10/2005 Parents GA/USA
Erick Vargas 06/30/1999 aunt/auncle Adelina es la tia
Jesus Vargas 05/20/1996 Mother w/Stepfather GA/USA
Kimberly Vargas 09/11/2007 aunt/auncle Adelina es la tia
Viridiana Vargas 01/23/2003 Mother w/Stepfather GA/USA
NOTES

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