ACO-ZUL-53

Code
ACO-ZUL-53
Mercy ID
V-01706-01
Encounter Date
09/16/2004
Last
Acosta
First
Zulma
DOB
07/15/1953
County
Other
Street
1233 Lake View Cove Dr.
City
Grayson
State
GA
Zip
30017-
Home
(678) 437-5682
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Acosta
First
Victor cesar
DOB
02/25/1953
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Cesar Enrique Acosta 09/24/1985 Parents GA/USA
Hugo Arnaldo Acosta 09/07/1981 Adulto/Soltero N.J
Victor Oswaldo Acosta 07/06/1982 Parents GA/USA
Zulma Viviana Acosta 11/11/1980 Parents 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
Damaryz