MOR-MON-61

Code
MOR-MON-61
Mercy ID
V-00030-01
Encounter Date
01/05/2000
Last
Morales
First
Monica
DOB
07/04/1961
County
Fulton
Street
201 Northwood Dr. Apt. AA-10
City
Atlanta
State
GA
Zip
30342-
Home
(404) 256-5195
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Alonso
First
Jose
DOB
08/24/1957
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
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
Emestor Alonso 07/15/1993 Parents GA/USA
Grabriel Alonso 10/28/1990 Parents GA/USA
Orlando Alonso 09/08/1991 Parents GA/USA
Silvia Alonso 10/15/1994 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
Y. Garcia
Referred By