AFA-JOR-51

Code
AFA-JOR-51
Mercy ID
V-00131-02
Encounter Date
02/07/2000
Last
Afanador
First
Jorge armando
DOB
12/08/1951
County
Dekalb
Street
2442 Shallowford Terrace
City
Chamblee
State
GA
Zip
30341-
Home
(770) 458-7522
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Molina
First
Ruth
Middle
E.
DOB
11/25/1990
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Andres Camilo Afanador 11/25/1990 Mother GA/USA
Estibaliz siboney Afanador 01/08/1995 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
D. Gomez
Referred By