MAG-EVE-76

Code
MAG-EVE-76
Mercy ID
V-03521-01
Encounter Date
02/01/2011
Last
Magaña
First
Evelin
DOB
12/06/1976
County
Gwinnett
Street
5508 Willow Drook
City
Norcross
State
GA
Zip
30093-
Cell
(678) 683-3693
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Cortes
First
Samuel
DOB
N/A
Address
N/A
Telephone
N/A
COB
Guatemala
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
Alexis Magaña 12/05/2002 Grandparents El Salvador-Maternos
Franklin Magaña 10/24/2008 Mother w/Stepfather GA/USA
Josue Magaña 01/23/2007 Mother w/Stepfather GA/USA
Luis Ramirez 08/12/1996 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
cel-Griselda/Juana