ZAM-ILE-55

Code
ZAM-ILE-55
Mercy ID
V-02683-01
Encounter Date
12/18/2007
Last
Zamora
First
Ileana
DOB
04/11/1955
County
Henry
Street
145 Whistle Way
City
Locust grove
State
GA
Zip
30248-
Home
(770) 288-2941
Family Status
Two parent family w/children
COB
Nicaragua
Gender
Female
Housing
Doubling Up
Education Level
College Degree

Spouse Information

Last
Guevara
First
Armando
DOB
12/24/1964
Address
N/A
Telephone
N/A
COB
Nicaragua
Home Owner
No
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
Alicia Guevara 08/06/1991 Parents 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