AVE-ANA-62

Code
AVE-ANA-62
Mercy ID
V-00004-01
Encounter Date
08/28/2000
Last
Avellaneda
First
Anabertha
DOB
06/09/1962
County
Gwinnett
Street
5856 Castle Lane
City
Norcross
State
GA
Zip
30093-
Home
(770) 806-9666
Cell
(404) 838-0261
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Avila
First
Hector manuel
DOB
07/17/1979
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
Jaime Soto 12/29/1987 Mother GA/USA
Juan Antonio Soto 06/13/1984 Mother GA/USA
Julianna Soto 03/23/1994 Mother GA/USA
Rosalba Soto 08/23/1990 Mother GA/USA
Suliana Soto 09/01/1982 Mother GA/USA

Former Spouse 1 Information

Last
Soto
First
Jaime
DOB
09/09/1958
Telephone
N/A
COB
N/A
Home Owner
No
NOTES
aka Sanchez Jesus, Sobrino de ella pero no tenemos intake. 6/14/02 Jackie Manzo me dejo una nota, Jesus se estaba quedando con Ana pero que lla regreso con mama. *****2008, NO SE CONTACTO, NO A.R.*****

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