AGU-DIN-54

Code
AGU-DIN-54
Mercy ID
V-02743-01
Encounter Date
03/26/2008
Last
Aguila
First
Dinorah
DOB
09/10/1954
County
Fulton
Street
1490 Steltren Way
City
Alpharetta
State
GA
Zip
30004-
Cell
(678) 886-1756
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Godoy
First
Raul
DOB
05/10/1954
Address
N/A
Telephone
N/A
COB
Argentina
Home Owner
YES
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
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
Adultos N/A N/A 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