WHI-ANA-83

Code
WHI-ANA-83
Mercy ID
V-02343-01
Encounter Date
10/23/2006
Last
Whitlow
First
Ana patricia
DOB
09/11/1983
County
Fulton
Street
136 Peachtree Rd.
City
Atlanta
State
GA
Zip
30309-
Cell
(678) 754-0469
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Whitlow
First
Ray
Middle
A.
DOB
N/A
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
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
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Paolo Palcio 12/28/2004 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Palacio
First
Luis
DOB
08/29/1976
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
Linea-Juana