TOR-ELV-67

Code
TOR-ELV-67
Mercy ID
V-01609-01
Encounter Date
05/25/2004
Last
Torres
First
Elvia
DOB
01/14/1967
County
Fulton
Street
275 Old Holcomb Bridge Way
City
Roswell
State
GA
Zip
30076-
Home
(770) 645-6861
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Bonilla
First
Alfredo
DOB
08/12/1967
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alfredo Bonilla 07/27/1986 Parents GA/USA
Jovani Torres 07/09/1993 Parents GA/USA
Sandi Bonilla 02/02/1998 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