DUR-ALI-70

Code
DUR-ALI-70
Mercy ID
V-02515-01
Encounter Date
06/19/2007
Last
Duran
First
Alicia
DOB
12/24/1970
County
Rockdale
Street
608 Planting Ridge Rd.
City
Coneyrs
State
GA
Zip
30012-
Home
(770) 679-9213
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Bravo
First
Jesús
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
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
Alondra Bravo 11/12/2006 Mother GA/USA
Jennifer Bravo 10/17/1997 Mother GA/USA
Jesús Bravo Jr. 11/10/2002 Mother GA/USA
Laura Bravo 09/28/1994 Mother GA/USA
Stephanie Bravo 08/15/1992 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