MAC-ALE-71

Code
MAC-ALE-71
Mercy ID
V-02971-01
Encounter Date
12/18/2008
Last
Maciel
First
Alejandra
DOB
05/24/1971
County
Gwinnett
Street
1965 Ashton Point Drive
City
Dacula
State
GA
Zip
30019-
Cell
(404) 247-4100
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Maciel
First
Gerardo
DOB
01/25/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
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
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
Alexander Aguila 03/28/1989 Mother w/Stepfather GA/USA
Ariana Bañuelos 04/30/1996 Mother w/Stepfather GA/USA
Zasha Maciel 09/18/2007 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