SAN-LET-72

Code
SAN-LET-72
Mercy ID
V-02877-01
Encounter Date
08/20/2008
Last
Sanchez
First
Leticia
DOB
06/16/1972
County
Clayton
Street
1090 Boca Raton
City
Forest park
State
GA
Zip
30279-
Cell
(678) 789-4849
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
YES
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
Ana Maria Cardenas 09/18/1992 Mother GA/USA
Citlalli E. Cardenas 01/26/2000 Mother GA/USA
Mario Alberto Cardenas 07/22/2001 Mother GA/USA

Former Spouse 1 Information

Last
Cardenas
First
Genaro
DOB
02/21/1969
Telephone
N/A
COB
Mexico
Home Owner
YES
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
Padre Hernan