AGU-MAR-67

Code
AGU-MAR-67
Mercy ID
V-00682-01
Encounter Date
09/19/2001
Last
Aguilar
First
Maria
DOB
06/04/1967
County
Dekalb
Street
6750 Peachtree Industrial Blv. Apt. 2005
City
Doraville
State
GA
Zip
30360-
Home
(770) 734-8090
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Aguilar
First
Rene
DOB
N/A
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
YES
Consentimiento De Participar
YES

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
Edgar Ivan Aguilar Cordoba 10/20/1991 Parents GA/USA
Kimberly Anneth Aguilar Cordoba 11/21/1998 Parents GA/USA
Rene Said Aguilar Cordoba 10/26/1987 Parents 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
Walk In