MAG-ALI-72

Code
MAG-ALI-72
Mercy ID
V-02748-01
Encounter Date
04/01/2008
Last
Maganda
First
Alicia
DOB
06/23/1972
County
Dekalb
Street
3815 Martin Luther King Jr. Apt. B-4
City
Atlanta
State
GA
Zip
30331-
Cell
(404) 447-3960
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Calzada
First
Samuel
DOB
01/03/1972
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
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
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
Ashley Calzada 02/08/1996 Mother GA/USA
Chelsie Calzada 12/26/2001 Mother GA/USA
Galilea Calzada 08/02/2007 Mother GA/USA
Shirley Calzada 03/15/1998 Mother GA/USA
NOTES
Referida a PADV-Fulton/Meghan

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