THO-ALI-74

Code
THO-ALI-74
Mercy ID
V-02612-01
Encounter Date
10/08/2007
Last
Thomas
First
Alicia
DOB
01/31/1974
County
Forsyth
Street
1585 Independent Cr. Trail
City
Cumming
State
GA
Zip
30040-
Home
(770) 844-8398
Cell
(770) 378-8968
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma

Spouse Information

Last
Thomas
First
Dylan
DOB
09/14/1975
Address
N/A
Telephone
N/A
COB
USA
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
Rodrigo Garcia 02/28/1994 Mother w/Stepfather GA/USA
Valeria Thomas 05/04/1999 Parents GA/USA
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