ACE-SIX-72

Code
ACE-SIX-72
Mercy ID
V-01055-01
Encounter Date
12/20/2002
Last
Acevedo
First
Sixta
DOB
04/02/1972
County
Dekalb
Street
6228 Eduard St.
City
Doraville
State
GA
Zip
30040-
Home
(770) 840-0928
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Espinoza
First
Silvino
DOB
11/28/1969
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alpa Berta Ezpinoza 07/06/1994 Uncle GA/USA
Bianca Arlet Espinoza 07/29/1996 Uncle GA/USA
Edith Espinoza 05/18/1991 Uncle GA/USA
Leyla Espinoza 05/28/1993 Uncle GA/USA
Sam Eden Espinoza 05/26/1995 Uncle GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
Y. Garcia
Referred By
Karina 7764/x3737 Damaryz