APA-SUS-76

Code
APA-SUS-76
Mercy ID
V-03169-01
Encounter Date
10/13/2009
Last
Aparicio
First
Susana
DOB
07/30/1976
County
Gwinnett
Street
5911 Hunt Club Run # D
City
Norcross
State
GA
Zip
30093-
Cell
(770) 369-0910
Work
(770) 248-9059
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
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
YES

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
Alejandro Silva 05/09/1997 Mother GA/USA
Edgar Aparicio 06/19/2001 Mother GA/USA
Ernesto Silva 05/24/2007 Mother GA/USA
Gabriela Aparicio 01/14/2010 Mother GA/USA
Pamela Silva 08/05/2005 Mother GA/USA
Stephanie Silva 11/24/1998 Mother GA/USA
Susana Aparicio 05/07/2003 Mother GA/USA

Former Spouse 1 Information

Last
Silva
First
Luis edgar
DOB
10/30/1973
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana