MAR-ANA-76

Code
MAR-ANA-76
Mercy ID
V-02148-01
Encounter Date
01/23/2006
Last
Martinez
First
Anabella
DOB
09/26/1976
County
Gwinnett
Street
1301 Concepts #S21
City
Doraville
State
GA
Zip
30392-
Cell
(678) 851-7441
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Sanabria
First
Manuel
DOB
06/17/1977
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
Jacquelina Sanabria 01/14/2005 Mother GA/USA
Orlando Sanabria 01/09/2002 Mother GA/USA
Vanesa Sanabria 03/01/2001 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
R. Gonzalez
Referred By
Rafael Miranda