ALV-MAR-73

Code
ALV-MAR-73
Mercy ID
V-00943-01
Encounter Date
06/03/2002
Last
Alvarez
First
Maria angelita
DOB
10/10/1973
County
Gwinnett
Street
502 Chase Ln
City
Norcross
State
GA
Zip
30093-
Cell
(404) 329-0942
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Jessica Alvarez 09/08/1994 Mother GA/USA
Juan Luis Leiva 07/27/1998 Mother GA/USA
Laritza Sanchez 04/20/1992 Aunt GA/USA-Ma. Angelita
Sonia Sanchez 08/22/1994 Aunt GA/USA-Ma. Angelita

Former Spouse 1 Information

Last
Leiva
First
Santiago
DOB
10/01/1973
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES
Louisa y Sonia Sanchez son sobrinas de María Alvares. Viven con ella porque su mama murio. El numero "other" es de Adela Maya

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia