RES-ANA-58

Code
RES-ANA-58
Mercy ID
V-00320-01
Encounter Date
10/24/2000
Last
Resinos
First
Ana
DOB
02/14/1958
County
Dekalb
Street
757 Jodeco Cr
City
Lilburn
State
GA
Zip
30047-
Home
(770) 931-0984
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Mancilla
First
Manuel
DOB
02/06/1950
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
Ana Cecilia Resinos 07/27/1978 Adulto/Casado GA/USA
Bilma Lorena Resinos 01/03/1983 Grandmother GA/USA
Carlos Antonio Resinos 07/26/1976 Adulto/Casado GA/USA
Gabriela Resinos 09/09/1991 N/A GA/USA
Gladis Mirna Resinos 10/30/1985 N/A GA/USA
Jaime Efrain Resinos 07/30/1981 Grandmother GA/USA
Oscar Edgardo Resinos 05/10/1980 Grandmother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
X-7764 Michelle Roman