ALD-ANA-66

Code
ALD-ANA-66
Mercy ID
B-00026-01
Encounter Date
03/24/1999
Last
Aldana
First
Ana
DOB
08/14/1966
County
Other
Street
100 Atlanta Technology Ctr.
City
Atlanta
State
GA
Zip
30318-
Home
(000) 000-0000
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Other
Education Level
Other

Spouse Information

Last
Aldana
First
Victor
DOB
05/22/1959
Address
2943 N. Dekalb Dr. Apt 307 Doraville Ga 30340
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
Briana Anabel Aldaña 09/21/1996 Mother GA/USA
Cristina Martinez 07/03/1989 Mother GA/USA
Heather Arauja 12/08/1986 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By