DEL-ALE-68

Code
DEL-ALE-68
Mercy ID
V-00640-01
Encounter Date
08/14/2001
Last
Delgado
First
Alejandra
DOB
05/03/1968
County
Gwinnett
Street
not given
City
Stone mountain
State
GA
Zip
30087-
Cell
(404) 437-9513
Family Status
Adult couple-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
YES
Consentimiento De Participar
YES

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
Angelica Olivares 04/01/1991 Grandparents GA/USA
Misael Olivares 03/27/1990 Grandparents GA/USA
Samuel Olivares 07/31/1988 Grandparents GA/USA

Former Spouse 1 Information

Last
Olivares
First
Samuel
DOB
08/20/1969
Telephone
N/A
COB
Mexicano
Home Owner
No
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