POS-ADR-63

Code
POS-ADR-63
Mercy ID
V-01128-01
Encounter Date
02/21/2003
Last
Posada
First
Adriana
DOB
03/24/1963
County
Gwinnett
Street
1400 Herringlon Rd.
City
Lawrenceville
State
GA
Zip
30044-
Home
(678) 886-3196
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Transitional
Education Level
High school graduate

Spouse Information

Last
Arzate
First
Gabriel
DOB
04/07/1966
Address
N/A
Telephone
(770) 995-8473
COB
Colombia
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
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
Adriana 08/07/1993 Mother N/A
Daniel 09/03/1991 N/A Child lives with stepfather
Jose Miguel 06/21/1984 N/A Lives with friends
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
SJMCS Dora