VAR-PET-77

Code
VAR-PET-77
Mercy ID
V-00274-01
Encounter Date
08/22/2000
Last
Vargas
First
Petra
DOB
09/09/1977
County
Fulton
Street
879 C- Tajoe Way
City
Roswell
State
GA
Zip
30076-
Home
(678) 277-9724
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Sandoval
First
Rogelio
DOB
09/16/1968
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
Jose Alfredo Sandoval 01/21/1988 Grandparents GA/USA
Maria Guadalupe Sandoval 05/22/1992 Grandparents GA/USA
Thania Sandoval 10/26/1994 Grandparents 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
D. Gomez
Referred By