DIA-SON-71

Code
DIA-SON-71
Mercy ID
V-00776-01
Encounter Date
12/07/2001
Last
Diaz
First
Sonia
DOB
06/23/1971
County
Gwinnett
Street
4845 Steve Reynolds Blv.
City
Norcross
State
GA
Zip
30093-
Home
(770) 923-2720
Cell
(770) 246-9901
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Villareal
First
Alfredo
DOB
03/16/1965
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
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
Heydi Lissette Diaz 04/28/1989 Father w/Stepmother GA/USA
Jessie Diaz 03/16/2000 N/A GA/USA
Jovani Diaz 08/27/1993 N/A GA/USA
NOTES
*****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. Manzo
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia