VIL-ALI-65

Code
VIL-ALI-65
Mercy ID
V-01654-01
Encounter Date
07/09/2004
Last
Villalpando
First
Alicia
DOB
06/18/1965
County
Bartow
Street
21428 Toker Dr.
City
Wynder
State
GA
Zip
38224-
Home
(678) 377-7686
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Gutirrez - Villalpando
First
Felipe
DOB
06/26/1978
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
Felipe Gutierrez 06/11/1998 Parents GA/USA
Franchesca Gutierrez 05/08/2003 Parents GA/USA
Oswaldo Gutierrez 05/25/2000 Parents GA/USA
Raferty Villalpando 08/06/2009 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
K. Aleman
Referred By