VIV-MAR-63

Code
VIV-MAR-63
Mercy ID
V-00523-01
Encounter Date
09/25/2002
Last
Vivar
First
Maria
DOB
12/21/1963
County
Gwinnett
Street
2265 Marshes Glenn Dr.
City
Norcross
State
GA
Zip
30071-
Home
(770) 248-9055
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Morales
First
Mario
DOB
05/20/1957
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
YES
As A Child
YES
Relative
No
Stranger
YES
As An Adult
YES
Partner
No
Relative
No
Stranger
YES

Children

NAME DOB LIVING WITH STATE/COUNTRY
Irene Garcia 07/02/1991 N/A GA/USA
Karla 02/26/1988 N/A GA/USA
Oscar Garcia 07/20/1986 N/A GA/USA
Sandra Morales 07/18/1992 N/A 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
K. Aleman
Referred By
x7764 Ma. Eugenia