TOL-YES-85

Code
TOL-YES-85
Mercy ID
V-03307-01
Encounter Date
04/23/2010
Last
Toledo
First
Yesenia
DOB
10/12/1985
County
Fulton
Street
201 northwood Dr. # B-8
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 552-3185
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Valencia
First
David
DOB
10/02/1990
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
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
Erick A. Clavel 09/10/2002 Grandmother Mexico-Paterna
Genesis Lopez 05/12/2009 Parents GA/USA
Gloria I. Clavel 04/14/2001 Grandmother Mexico-Paterna
Gustavo Toledo 06/25/2007 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana