AYA-SON-78

Code
AYA-SON-78
Mercy ID
V-02747-01
Encounter Date
03/31/2008
Last
Ayala
First
Sonia
DOB
04/01/1978
County
Cherokee
Street
1855 Hollow Traje Way
City
Norcross
State
GA
Zip
30071-
Cell
(404) 567-2220
Family Status
Single parent w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
Home Owner
No
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
YES
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
Sarah Cerda 02/23/2006 Mother GA/USA
Stephanie Cerda 09/13/1999 Mother GA/USA

Former Spouse 1 Information

Last
Cerda
First
Armando
DOB
09/15/1975
Telephone
N/A
COB
Mexico
Home Owner
YES
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