ALF-MAR-63

Code
ALF-MAR-63
Mercy ID
V-02330-01
Encounter Date
09/18/2006
Last
Alfinda
First
Marjorie
DOB
10/21/1963
County
Dekalb
Street
3702 Pin oak Cir.
City
Atlanta
State
GA
Zip
30340-
Cell
(404) 438-6590
Family Status
Adult coupie-no children
COB
Other
Gender
Female
Housing
Other
Education Level
Some College

Spouse Information

Last
Carmona
First
David
DOB
12/29/1967
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
YES
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
NOTES

Media Authoritation

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