PAD-ANA-82

Code
PAD-ANA-82
Mercy ID
V-02368-01
Encounter Date
12/11/2006
Last
Padilla
First
Ana
DOB
03/02/1981
County
Dekalb
Street
1451 Brianon Rd. Apt. # 33
City
Atlanta
State
GA
Zip
30319-
Home
(678) 328-8888
Cell
(404) 734-2222
Work
(678) 328-8888
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Yañez
First
Adrian
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
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
YES
Consentimiento De Participar
YES

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
Bryant Sanchez 02/18/2002 Mother GA/USA
Mitzy Yañez 09/02/2006 Mother GA/USA
NOTES
No se hizo 00. A.R. solo follow up en el 2008. No se hizo contacto.

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
Felipe