ALV-AUR-77

Code
ALV-AUR-77
Mercy ID
V-03233-01
Encounter Date
01/19/2010
Last
Alvarado
First
Aurea
DOB
05/16/1977
County
Gwinnett
Street
1625 The falls
City
Duluth
State
GA
Zip
30096-
Cell
(678) 851-3194
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
Mexico
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
No
Consentimiento De Participar
No

Petitioner

TPO
YES
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
Brandon Betancio 12/03/2003 Mother GA/USA
Bryan Betancio 03/19/2005 Mother GA/USA
Tania Betancio 05/17/2007 Mother GA/USA

Former Spouse 1 Information

Last
Betancio
First
Uriel
DOB
01/27/1975
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
linea-Griselda