ALV-IGN-71

Code
ALV-IGN-71
Mercy ID
V-01745-02
Encounter Date
11/23/2004
Last
Alvarez
First
Ignacio jaime
DOB
07/15/1971
County
Gwinnett
Street
306 Jhonny Blvd.
City
Loganville
State
GA
Zip
30052-
Home
(770) 466-8745
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Alvarez
First
Maria guadalupe
DOB
12/30/1974
Address
N/A
Telephone
(770) 466-8745
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
YES
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
Alan Alvarez 02/06/2004 Parents GA/USA
Estefany Alvarez 07/17/1994 Parents GA/USA
Jennifer Alvarez 08/20/1997 Parents GA/USA
Joanna Alvarez 08/23/2002 Parents GA/USA
Kimberly Alvarez 10/25/1995 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
DFACS