ALV-VIC-82

Code
ALV-VIC-82
Mercy ID
V-02333-01
Encounter Date
09/11/2006
Last
Alvarez
First
Victoria
DOB
06/13/2006
County
Fulton
Street
1446 Raintree Dr. #-A
City
Roswell
State
GA
Zip
30076-
Cell
(678) 755-5469
Other
(678) 516-4116
Family Status
Two parent family w/children
COB
Uruguay
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Torres
First
Carlo
DOB
02/02/1980
Address
N/A
Telephone
N/A
COB
Perú
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
Alan Alvarez 03/20/2004 Mother GA/USA
Camila Zuquian 04/13/2001 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana