KEY-ANN-74

Code
KEY-ANN-74
Mercy ID
V-02165-01
Encounter Date
02/14/2006
Last
Key
First
Anna
DOB
10/08/1974
County
Fulton
Street
3210 Matheson Dr
City
Atlanta
State
GA
Zip
30305-
Home
(404) 846-8224
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Not Homeless
Education Level
Some College

Spouse Information

Last
Morales
First
Edargo
DOB
09/23/1979
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
Ethan Grey Morales 03/20/2004 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
Rafael Miranda