ALF-GRI-67

Code
ALF-GRI-67
Mercy ID
V-03395-01
Encounter Date
08/31/2010
Last
Alfaro
First
Griselda
DOB
02/25/1967
County
Cowetta
Street
502 Snowfall Terrace
City
Palmetto
State
GA
Zip
30268-
Cell
(770) 771-2285
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Alfaro
First
Juan pablo
DOB
04/08/1952
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
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
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
Margarita Alfaro 02/25/1998 Parents GA/USA
Paulina Alfaro 06/26/1994 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
Cell-Griselda/ Jackie& Jess