CHA-ALE-71

Code
CHA-ALE-71
Mercy ID
V-00205-01
Encounter Date
05/16/2000
Last
Chavez
First
Alejandra
DOB
08/22/1971
County
Fulton
Street
1505 chattahoochee ave lot 60
City
Atlanta
State
GA
Zip
30318-
Home
(404) 351-0216
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Chavez
First
Guillermo
DOB
02/22/1958
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
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
beatriz 08/19/1997 Mother GA/USA
brenda 02/25/1988 DFACS GA/USA
guillermo 03/14/1993 Mother GA/USA
silvia 12/03/1991 Mother 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
S. Aviña
Referred By