SAR-ANA-73

Code
SAR-ANA-73
Mercy ID
V-00468-01
Encounter Date
04/09/2001
Last
Saralegui
First
Anali
DOB
10/15/1973
County
Gwinnett
Street
2360 millwood
City
Duluth
State
GA
Zip
30096-
Home
(770) 447-0257
Family Status
Adult coupie-no children
COB
Uruguay
Gender
Female
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Zarpa
First
Fabio
DOB
10/14/1969
Address
N/A
Telephone
N/A
COB
Uruguay
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
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
D. Gomez
Referred By
hermana ricarda/julia perilla