Code
CUE-ALF-80
Mercy ID
V-02538-02
Encounter Date
08/28/2007
Last
Cuenca
First
Alfonso
DOB
12/11/1980
County
Dekalb
Street
2459 Wagon Trace
City
Duluth
State
GA
Zip
30096-
Cell
(678) 799-6225
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Alfonso Cuenca 06/11/2006 Mother GA/USA
Allison Mitchelle Cuenca 04/25/2003 Mother GA/USA

Former Spouse 1 Information

Last
Solis
First
Lucero
DOB
08/26/1983
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

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