ACO-CON-56

Code
ACO-CON-56
Mercy ID
V-02082-01
Encounter Date
10/26/2005
Last
Acosta
First
Consuelo
DOB
04/29/1956
County
Dekalb
Street
3957 Ingle Oak Drive
City
Doraville
State
GA
Zip
30340-
Cell
(678) 334-4450
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Vazquez torres
First
Marco francisco
DOB
N/A
Address
N/A
Telephone
(404) 969-9052
COB
Honduras
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
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
Angel R. Banega 02/11/1979 Adulto/Soltero New York
Lesvia A. Banega 03/29/1980 Adulto/Soltero Florida
Mariel E. Aguilar 03/17/1992 Father Honduras
Rene E. Aguilar 12/10/1986 Father Honduras
Sandra Banega 07/08/1977 Adulto/Casado Honduras
NOTES

Media Authoritation

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