DOR-ANG-69

Code
DOR-ANG-69
Mercy ID
V-01934-01
Encounter Date
05/18/2005
Last
Doroteo
First
Angelica
DOB
04/12/1969
County
Fulton
Street
Summit Place Dr.
City
Atlanta
State
GA
Zip
30350-
Home
(678) 760-7219
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Gonzalez
First
Carlos
DOB
N/A
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
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
Angle Gonzalez Doroteo 02/23/2005 Mother GA/USA
Karla Caballero Doroteo N/A Brother Mexico
Karlet Caballero Doroteo 12/03/1993 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By