ALE-ERI-77

Code
ALE-ERI-77
Mercy ID
V-02590-01
Encounter Date
09/28/2007
Last
Alegria
First
Ericka
DOB
10/02/1977
County
Clayton
Street
8706 Flint River
City
Jonesboro
State
GA
Zip
30238-
Home
(678) 379-0136
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Tapia
First
Fredy
DOB
12/07/1973
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
Connie Tapia 11/24/1995 Mother GA/USA
Erick Tapia 11/21/1994 Mother GA/USA
Esmeralda Tapia 07/18/2001 Mother GA/USA
Gisel Tapia 05/08/1997 Mother 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
linea-Juana