ALV-MAR-92

Code
ALV-MAR-92
Mercy ID
A-00003-01
Mother ID
V-01424-11
Encounter Date
12/03/2003
Last
Alvarez
First
Maria
DOB
11/13/1992
County
Gwinnett
Street
605 Amber Dr.
City
Norcross
State
GA
Zip
30071-
Cell
(678) 837-8670
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Chavez
First
Luis
DOB
07/26/1987
Address
N/A
Telephone
N/A
COB
El Salvador
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
No
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 A. Chavez 08/31/2009 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
Y. Garcia
Data Entry
K. Aleman
Referred By
mother/Adela Maya