TAR-SIL-70

Code
TAR-SIL-70
Mercy ID
V-00362-01
Encounter Date
12/05/2000
Last
Tarango
First
Silvia
DOB
05/19/1970
County
Cobb
Street
1260 South Cobb Dr. Lt. 51
City
Marietta
State
GA
Zip
30060-
Cell
(678) 914-3410
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
N/A
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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
Jesus Armando Funes 06/04/1991 Mother GA/USA
Roxana Funes 07/10/1992 Mother GA/USA

Former Spouse 1 Information

Last
Funes
First
Jesus
DOB
02/17/1971
Telephone
N/A
COB
Honduras
Home Owner
No
NOTES
aka Manuel Tarango

Media Authoritation

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