ESC-ALO-75

Code
ESC-ALO-75
Mercy ID
V-02237-02
Encounter Date
05/08/2006
Last
Escobar
First
Alonso
DOB
05/31/1975
County
Dekalb
Street
2206 Peachtree Industrial Blv
City
Doraville
State
GA
Zip
30360-
Cell
(678) 598-4967
Family Status
Single adult
COB
El Salvador
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Toloza
First
Ptreonila
DOB
07/26/1982
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
Gerardo A Fuentes 10/08/2005 Mother 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
Dekalb Court