ALV-ANG-78

Code
ALV-ANG-78
Mercy ID
V-02589-01
Encounter Date
09/12/2007
Last
Ochoa
First
Angelica
DOB
03/12/1978
County
Cobb
Street
1731 Sams St. # C
City
Marietta
State
GA
Zip
30060-
Cell
(404) 839-6213
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

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
Bryant Alvarado 02/05/2000 Grandparents Guatemala
Cristal Alvarado 07/13/2003 Grandparents Guatemala
Gustavo Aguilar 09/09/2006 Mother GA/USA

Former Spouse 1 Information

Last
Aguilar
First
Raul
DOB
06/05/1975
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
G. Landeros
Data Entry
J. Manzo
Referred By
Court-Cobb