ALT-MAR-75

Code
ALT-MAR-75
Mercy ID
V-02989-01
Encounter Date
01/20/2009
Last
Altamirano
First
Margarita
DOB
07/07/1975
County
Gwinnett
Street
14307 Dunleaf Parkway
City
Norcross
State
GA
Zip
30093-
Other
(678) 891-8986
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Zamora
First
Ediberto
DOB
02/24/1980
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
YES
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
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
Brandon Zamora 08/06/2007 Parents GA/USA
Leonardo Altamirano 02/22/2003 Mother w/Stepfather 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