DEL-OBD-56

Code
DEL-OBD-56
Mercy ID
V-00206-01
Encounter Date
05/16/2000
Last
Delgado
First
Obdulia
DOB
01/08/1956
County
Gwinnett
Street
3104 Edington Wingwood .
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 638-7540
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Delgado
First
Alfonso
DOB
06/01/1952
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Alfonso 08/17/1980 Parents GA/USA
Elide 10/02/1994 Parents GA/USA
Jose Luis 07/04/1986 Parents GA/USA
Patricio 07/10/1982 Parents GA/USA
Victor 11/07/1977 Parents 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
Y. Garcia
Referred By
x3737 Damaryz