ALO-CLA-65

Code
ALO-CLA-65
Mercy ID
V-02557-01
Encounter Date
08/01/2007
Last
Alonzo
First
Claudia
DOB
11/04/1965
County
Gwinnett
Street
3334 Highpointe Road
City
Snellville
State
GA
Zip
30078-
Cell
(404) 447-4242
Family Status
Single parent w/children
COB
Uruguay
Gender
Female
Housing
Doubling Up
Education Level
High school graduate

Spouse Information

Last
Newman
First
Todd
DOB
10/02/1968
Address
N/A
Telephone
N/A
COB
USA
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
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
Sebastian Vidal 10/21/1991 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