AFA-LID-67

Code
AFA-LID-67
Mercy ID
V-01347-01
Encounter Date
11/30/1999
Last
Afanador
First
Lidia
DOB
09/03/1967
County
Other
Street
29 Chadfield Dr. Apt. 29-E
City
Stone mountain
State
GA
Zip
30083-
Home
(770) 465-7437
Family Status
Two parent family w/children
COB
Venezuela
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Duran
First
William
DOB
09/04/1966
Address
N/A
Telephone
N/A
COB
N/A
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
Wendy Duran 11/07/1990 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
K. Aleman
Referred By