DEM-ANG-75

Code
DEM-ANG-75
Mercy ID
V-01516-01
Encounter Date
03/03/2004
Last
De mozo
First
Angela
DOB
02/23/1975
County
Fulton
Street
Not given
City
Not given
State
GA
Zip
00000-0000
Home
(770) 270-1791
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Mozo
First
Nedi
Middle
A.
DOB
05/04/1969
Address
N/A
Telephone
N/A
COB
El Salvador
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
YES
Consentimiento De Participar
YES

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
YES
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Garson Mozo 09/02/1995 Uncle GA/USA
Ricardo Mozo 03/16/1994 Uncle GA/USA
Veronica Mozo 10/21/1990 Mother 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