ALM-CAN-76

Code
ALM-CAN-76
Mercy ID
V-01833-02
Encounter Date
02/22/2005
Last
Almaraz
First
Candido
DOB
03/02/1976
County
Fulton
Street
201 Northwood Dr.
City
Sandy springs
State
GA
Zip
30342-
Home
(404) 218-0739
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Contreras
First
Ruth
DOB
01/08/1977
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
David Almaraz N/A N/A GA/USA
Lizabeth Almaraz N/A N/A GA/USA
Noemi Almaraz N/A Grandmother Mexico
Wilbert Almaraz N/A N/A 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
E. Lavizzo
Referred By