BOO-ELV-56

Code
BOO-ELV-56
Mercy ID
V-03039-01
Encounter Date
03/31/2009
Last
Monterrosa
First
Elvia
DOB
07/14/1956
County
Dekalb
Street
3282 Oakwood Village Lane Apt. D
City
Chamblee
State
GA
Zip
30341-
Cell
(404) 694-8827
Family Status
Adult couple-no children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Bood
First
Johnny
DOB
03/30/1950
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
YES
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
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
Milton . Buelvas 05/08/1997 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
amiga