Code
ALV-AUR-75
Mercy ID
V-01552-01
Encounter Date
03/30/2004
Last
Alvarez
First
Aurora
DOB
08/13/1975
County
Gwinnett
Street
2705 Treehouse Pkwy
City
Norcross
State
GA
Zip
30093-
Home
(770) 939-2726
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Ramirez
First
Luis
Middle
G.
DOB
10/06/1980
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
No
Driver License Date
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
Luis Gerardo Ramirez 06/23/2003 Parents GA/USA
Nisa Garcia 06/21/1994 Mother w/Stepfather GA/USA
Victor Daniel Garcia 05/15/2002 Mother w/Stepfather 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
Radio Mex /x1375