ALV-ANA-75

Code
ALV-ANA-75
Mercy ID
V-02380-01
Encounter Date
02/22/2008
Last
Alvarez
First
Ana maria
DOB
03/11/1975
County
Dekalb
Street
1438 Cumberland Circle A-2
City
Chamblee
State
GA
Zip
30341-
Cell
(404) 658-3536
Family Status
Single adult
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
Antonio Alvarez 12/03/2006 Mother GA/USA
Hugo Colin 01/10/1992 Grandmother El Salvador - Materna
Victoria Colin 08/10/1989 Grandmother El Salvador - Materna

Former Spouse 1 Information

Last
Rocha
First
Antonio
DOB
03/09/1976
Telephone
N/A
COB
Mexico
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