BAR-VIL-65

Code
BAR-VIL-65
Mercy ID
V-03198-01
Encounter Date
10/30/2009
Last
Barahona
First
Vilma
DOB
04/20/1965
County
Cobb
Street
490 Windy Hill Road Apt. 707
City
Smyrna
State
GA
Zip
30082-
Cell
(678) 334-8463
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Miranda
First
Roberto
DOB
10/25/1962
Address
N/A
Telephone
N/A
COB
El Salvador
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
Diego Miranda 12/13/2004 Parents GA/USA
Gabriela Miranda 09/06/2000 Parents GA/USA
Roberto Miranda 05/29/1989 Parents 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
TV-Univision/linea-Juana