SOL-TOM-62

Code
SOL-TOM-62
Mercy ID
V-00199-01
Encounter Date
05/10/2000
Last
Solis
First
Tomasa
DOB
09/22/1962
County
Dekalb
Street
3500 Chamblee Dunwoody Way C-1
City
Chamblee
State
GA
Zip
30341-
Home
(770) 457-5389
Family Status
Single adult
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Arevalo
First
Jose
DOB
11/05/1957
Address
3510 Buford hwy N.E. #D-7 Atlanta Ga. 30329
Telephone
N/A
COB
Guatemala
Home Owner
No
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
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
Jimmy Brian Arevalo 07/17/1997 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