ALV-MAR-62

Code
ALV-MAR-62
Mercy ID
V-01859-01
Encounter Date
03/22/2005
Last
Alvarez
First
Maria del carmen
DOB
07/15/1962
County
Dekalb
Street
413 Winter Creek Dr.
City
Doraville
State
GA
Zip
30360-
Home
(770) 797-9951
Work
(770) 397-7700
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Alvarez
First
Jose
DOB
12/23/1970
Address
N/A
Telephone
N/A
COB
Mexico
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
Francisco Alvarez 07/04/1992 Father GA/USA
Gustavo Angelo 05/04/1988 Mother GA/USA
NOTES
ext. to work # is 2451

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
Walk in