XOC-EDU-73

Code
XOC-EDU-73
Mercy ID
V-00335-02
Encounter Date
12/05/2000
Last
Xochihua
First
Eduardo
DOB
12/08/1973
County
Fulton
Street
1941 roswell rd apt e
City
Sandy spring
State
GA
Zip
30342-
Home
(770) 361-3500
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Balladares
First
Melba
DOB
02/18/1972
Address
N/A
Telephone
N/A
COB
Nicaragua
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
S. Aviña
Referred By