AGU-ISI-61

Code
AGU-ISI-61
Mercy ID
V-00752-02
Encounter Date
11/13/2001
Last
Aguilar
First
Isidoro
DOB
02/10/1961
County
Dekalb
Street
2123 Cossanwattee Dr. Apt. C
City
Atlanta
State
GA
Zip
30319-
Home
(404) 248-9342
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Barajas
First
Eva
DOB
N/A
Address
3032 Plaster Rd. Apt. F
Telephone
(404) 325-5920
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
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

Children

NAME DOB LIVING WITH STATE/COUNTRY
Francisco N/A Mother GA/USA
Graciela N/A Mother GA/USA
Gustavo N/A Adulto/Soltero Mexico
Isidoro N/A Mother GA/USA
Maria N/A Adulto/Soltero Mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
K. Aleman
Referred By
Dekalb