ALA-CLA-74

Code
ALA-CLA-74
Mercy ID
V-02331-01
Encounter Date
09/19/2006
Last
Mendoza
First
Claudia
DOB
11/14/1974
County
Clayton
Street
4841 Evans Dr.
City
Forest park
State
GA
Zip
30297-
Home
(404) 363-3694
Other
(770) 961-7925
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma

Spouse Information

Last
Alaniz
First
Baldomero
DOB
12/10/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Andrea Alaniz 09/08/2001 Parents GA/USA
Baldo Alaniz 05/01/1997 Parents GA/USA
Melissa Alaniz 02/24/1994 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Periodico-Mundo Hispanico