Code
SAL-ALI-67
Mercy ID
V-01456-01
Encounter Date
01/05/2004
Last
SaldaƱa
First
Alicia
DOB
04/11/1967
County
Gwinnett
Street
2003 Tristani Parkway
City
Duluth
State
GA
Zip
30096-
Home
(770) 841-4108
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Villalpando
First
Felipe
DOB
05/25/1967
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Felipe Villalpando 02/26/1997 Mother GA/USA
Francisca Villalpando 05/25/2002 Mother GA/USA
Oswaldo Villalpando 05/26/2000 Mother 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
x3737 Damaryz