SAN-ALB-65

Code
SAN-ALB-65
Mercy ID
V-01045-01
Encounter Date
12/03/2002
Last
Sanchez
First
Alba
DOB
02/08/1965
County
Gwinnett
Street
6259 South Norcross Apt. E7
City
Tucker
State
GA
Zip
30084-
Home
(404) 317-7223
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Quiste
First
Carlos
DOB
06/02/1967
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
YES
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
Angela Alberto Sanchez 05/02/1981 Mother w/Stepfather GA/USA
Christian Alberto 05/02/1983 Mother w/Stepfather GA/USA
Maria Alberto 05/02/1989 Mother w/Stepfather 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
K. Aleman
Referred By
x7764 Rebecca