AGU-JAV-71

Code
AGU-JAV-71
Mercy ID
V-02049-02
Encounter Date
12/13/2005
Last
Aguilar
First
Javier
DOB
05/08/1971
County
Dekalb
Street
3086 Jet drive
City
Doraville
State
GA
Zip
30340-
Cell
(404) 401-9242
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Some College

Spouse Information

Last
Arizmendi
First
Alicia
DOB
07/21/1967
Address
3912 Pleasant Tree
Telephone
(770) 455-6384
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
Ernesto Aguilar 08/04/1995 Parents GA/USA
Lorena Aguilar 03/17/1992 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
F. Perez
Data Entry
R. Gonzalez
Referred By