BAR-LIL-80

Code
BAR-LIL-80
Mercy ID
V-03418-01
Encounter Date
09/15/2010
Last
Barragan
First
Lili
DOB
01/23/1980
County
Gwinnett
Street
1695 Grave Rd. # 1505
City
Norcross
State
GA
Zip
30093-
Cell
(404) 343-9673
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
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
Brenda Salcido 06/16/1996 Mother GA/USA
Esabela Salcido 05/23/2008 Mother GA/USA
Francesca Salcido 02/06/2004 Mother GA/USA
Joaquin Salcido 01/01/2000 Mother GA/USA
Samantha Salcido 10/02/1998 Mother GA/USA

Former Spouse 1 Information

Last
Salcido
First
Joaquin
DOB
08/04/1972
Telephone
N/A
COB
Mexico
Home Owner
No
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-Griselda