COR-ANA-77

Code
COR-ANA-77
Mercy ID
V-02060-01
Encounter Date
10/19/2005
Last
Correa
First
Ana
DOB
02/18/1977
County
Gwinnett
Street
1100 Indian Trail Hills
City
Norcross
State
GA
Zip
30093-
Cell
(678) 887-1487
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Osorio
First
Walter
DOB
08/02/1972
Address
N/A
Telephone
N/A
COB
Guatemala
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
Angel Correa 08/12/1996 Grandmother Guatemala
Cesar Andres 02/06/1993 Grandmother Guatemala
Cristian Ventura 07/23/1998 Mother GA/USA
Javier Andres 01/07/1995 Grandmother Guatemala
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