Code
SAN-ALE-73
Mercy ID
V-03053-02
Encounter Date
04/20/2009
Last
Sanchez
First
Alejandro
DOB
05/17/1973
County
Dekalb
Street
1016 Brookville
City
Atlanta
State
GA
Zip
30340-
Cell
(678) 507-9759
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Sanchez
First
Rosa
DOB
09/22/1973
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
YES
# of DUIs
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
Driver License Date
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
Alejandra Sanchez 08/02/2000 Parents GA/USA
Ivan Sanchez 05/27/2005 Parents GA/USA
Stephanie Sanchez 09/28/1998 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
wife