BRI-ALE-81

Code
BRI-ALE-81
Mercy ID
V-02671-01
Encounter Date
12/20/2007
Last
Brito
First
Maria alejandra
DOB
09/19/1981
County
Dekalb
Street
2761 Jeguar Driva
City
Ellenwood
State
GA
Zip
30294-
Home
(404) 243-3533
Cell
(678) 499-4397
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

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
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
YES
Consentimiento De Participar
YES

Petitioner

TPO
YES
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
Alexander Brito 08/22/2008 Mother GA/USA
Edith Brito 06/28/1999 Mother GA/USA
Michel Brito 10/17/2001 Mother GA/USA

Former Spouse 1 Information

Last
Brito
First
Felipe
DOB
06/08/1954
Telephone
N/A
COB
Mexico
Home Owner
YES
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
YES
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana