ZAB-MAR-67

Code
ZAB-MAR-67
Mercy ID
V-00278-01
Encounter Date
09/06/2000
Last
Zabala
First
Maria
DOB
01/06/1967
County
Dekalb
Street
6275 jane rd
City
Doraville
State
GA
Zip
30340-
Home
(770) 441-2992
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Zabala
First
Julio
DOB
04/12/1959
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
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
iban zabala 07/15/1993 Mother GA/USA
julio zabala 06/14/1985 Mother GA/USA
melanie zabala 04/27/1997 Mother GA/USA
stephany zabala 04/15/1989 Mother 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
S. Aviña
Referred By