ROM-LEY-81

Code
ROM-LEY-81
Mercy ID
V-03308-01
Encounter Date
04/26/2010
Last
Romero
First
Leydi
DOB
10/18/1981
County
Cobb
Street
1314 Bonfog Pass
City
Marietta
State
GA
Zip
30064-
Cell
(770) 861-0837
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical

Spouse Information

Last
Murra
First
Victor
DOB
06/15/1973
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
Julia Murra 06/22/2005 Father w/Stepmother GA/USA
Suri Murra 04/10/2009 Parents GA/USA
Victor Murra 04/07/2003 Father w/Stepmother 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
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