CRU-ALE-71

Code
CRU-ALE-71
Mercy ID
V-03346-01
Encounter Date
06/18/2010
Last
Cruz
First
Alejandra
DOB
03/19/1971
County
Gwinnett
Street
1835 Devora Dr.
City
Doraville
State
GA
Zip
30341-
Home
(404) 447-2581
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Cortes
First
Jesus valente
DOB
08/18/1963
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
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
Jesus Cortes Jr. 09/10/2001 Mother GA/USA

Former Spouse 1 Information

Last
N/A
First
N/A
DOB
08/18/1963
Telephone
N/A
COB
El Salvador
Home Owner
No
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