ALV-JUA-61

Code
ALV-JUA-61
Mercy ID
V-02189-01
Encounter Date
03/03/2006
Last
Alvarez
First
Juana
DOB
12/27/1961
County
Gwinnett
Street
357 North Hill Ct
City
Lawrenceville
State
GA
Zip
30045-
Cell
(678) 376-6483
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Alvarez
First
Jose
DOB
09/29/1957
Address
N/A
Telephone
N/A
COB
El Salvador
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
No
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Arists Alvarez 12/12/1996 Parents GA/USA
Elmer Alvarez N/A Parents GA/USA
Olga Alvarez N/A 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
Fabiola Gomez