Code
SAN-MAR-66
Mercy ID
V-01819-01
Encounter Date
01/28/2005
Last
Sanchez
First
Maria luisa
DOB
08/17/1966
County
Fulton
Street
1559 Wellswood Dr.
City
Atlanta
State
GA
Zip
30315-
Home
(404) 627-6091
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Sanchez
First
Marcos
DOB
04/25/1966
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
YES
Driver License Date
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
Beatriz Sanchez 10/06/1993 Parents GA/USA
Kimberly 08/18/2004 Parents GA/USA
Lesly Sanchez 05/10/1992 Parents GA/USA
Marco Antonio Sanchez 09/03/1986 Parents 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
x1375