ALC-CLA-75

Code
ALC-CLA-75
Mercy ID
V-02659-01
Encounter Date
11/27/2007
Last
Alcala
First
Claudia
DOB
02/15/1975
County
Cobb
Street
3373 Lochness Ln
City
Powder springs
State
GA
Zip
30127-
Home
(770) 439-4402
Cell
(404) 345-3922
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Adult, no formal education

Spouse Information

Last
Alcala
First
Alejandro
DOB
07/17/1973
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
Alfredo Gonzalez 01/08/1995 Mother GA/USA
Armando Gonzalez 06/01/1998 Mother GA/USA
Pablo Gonzalez 06/28/1993 Mother 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-Griselda