ALA-RAF-68

Code
ALA-RAF-68
Mercy ID
V-02839-02
Encounter Date
09/16/2008
Last
Alarcon
First
Rafael
DOB
11/27/1968
County
Gwinnett
Street
2500 Pleasant Hill Road
City
Duluth
State
GA
Zip
30360-
Home
(770) 896-1730
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Other
Education Level
Grade school

Spouse Information

Last
Almazan
First
Claudia
DOB
04/22/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
YES
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
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
Valeria Franco N/A Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
Dekalb court