ALE-SIL-75

Code
ALE-SIL-75
Mercy ID
V-03512-01
Encounter Date
01/10/2011
Last
Aleman
First
Silvia
DOB
09/05/1975
County
Fulton
Street
3136 MLK Jr. Dr. # 214
City
Atlanta
State
GA
Zip
30311-
Home
(404) 505-1085
Cell
(770) 666-1800
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education

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
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
Ana R. Aleman N/A Grandmother El Salvador-Materna
Juan Carlos Aleman N/A Grandmother El Salvador-Materna
Nancy E. Aleman N/A Grandmother El Salvador-Materna
Patricia Aleman 01/13/2007 Mother GA/USA

Former Spouse 1 Information

Last
Aleman
First
Juan
DOB
03/06/1972
Telephone
N/A
COB
El Salvador
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
Jacqueline-Entrevista