ALV-MAR-63

Code
ALV-MAR-63
Mercy ID
V-02056-01
Encounter Date
09/06/2005
Last
Alvarado
First
Maria
DOB
04/05/1963
County
Cobb
Street
750 Franklin Rd. #9F
City
Marrietta
State
GA
Zip
30067-
Cell
(678) 354-1460
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Alvarado
First
Mario
DOB
10/28/1966
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
Gloria J. Alvarado 04/14/1990 Parents GA/USA
Jordan A. Alvarado 03/29/1998 Parents GA/USA
Jorge I. Alvarado 03/22/2000 Parents GA/USA
Maria A. Alvarado 04/07/1988 Parents GA/USA
Mario M. Alvarado 08/31/1994 Parents 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
R. Gonzalez
Referred By