AGU-MIN-77

Code
AGU-MIN-77
Mercy ID
V-00337-01
Encounter Date
11/09/2000
Last
Aguilar
First
Minerva
DOB
10/18/1976
County
Dekalb
Street
2927N. Dekald
City
Doraville
State
GA
Zip
30340-
Home
(678) 663-4124
Cell
(404) 428-2048
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Bautista
First
Serafin
DOB
06/10/1978
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
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
Alexander Aguilar 10/13/2003 Mother w/Stepfather GA/USA
Anthony Aguilar 07/01/2001 Mother w/Stepfather GA/USA
Edgar Bautista 06/23/2006 Parents GA/USA
Fabian Barrita Aguilar 05/11/2000 Mother w/Stepfather GA/USA
Ivan Aguilar 05/26/1999 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Barrita
First
Valentin
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
NOTES
Signed consent form and promesa before the fire

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
Y. Garcia
Referred By
Alvaro Orduñes