CAL-ALE-71

Code
CAL-ALE-71
Mercy ID
V-02367-01
Encounter Date
12/05/2006
Last
Calzada
First
Alendrina
DOB
01/09/1971
County
Cobb
Street
4616 Elam Church Rd.
City
Clayton
State
GA
Zip
30297-
Family Status
Single adult
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Calzada
First
Cesar
DOB
04/08/1954
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
YES
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
Cesar Calzada 10/07/1996 N/A GA/USA
Esequiel Calzada 03/31/1999 N/A GA/USA
Ruth Calzada 08/20/2001 N/A GA/USA
Yocaira Calzada 10/27/1991 N/A 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