ACO-MAR-63

Code
ACO-MAR-63
Mercy ID
V-01151-01
Encounter Date
03/11/2003
Last
Acosta
First
Maria del los angeles
DOB
10/29/1963
County
Fulton
Street
110 Pine Terrace Apt.
City
Palmeto
State
GA
Zip
30268-
Home
(770) 463-9859
Cell
(770) 969-5850
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Hernandez
First
Rafael
DOB
10/24/1959
Address
N/A
Telephone
N/A
COB
Mexico
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
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
Areli Sanchez 03/05/1985 N/A GA/USA
Elizabeth Hernandez 05/11/1994 N/A GA/USA
Julieta Sanchez 08/10/1983 N/A GA/USA
Liliana Sanchez 07/12/1980 N/A GA/USA
Melissa Hernandez 04/29/1992 N/A GA/USA
Moises Sanchez 03/18/1987 N/A 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
x3737 Damaryz