BON-ANA-66

Code
BON-ANA-66
Mercy ID
V-00554-01
Encounter Date
06/26/2001
Last
Bonilla
First
Ana
DOB
05/10/1966
County
Cobb
Street
3284 Hopkins Rd.
City
Powder spring
State
GA
Zip
30127-
Home
(678) 907-0992
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Emmanuel 03/08/1993 N/A GA/USA
Jaime 08/12/1995 N/A GA/USA
Miriel Auriel 03/16/1998 N/A GA/USA
Samuel 03/04/1988 N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By