GAL-EST-68

Code
GAL-EST-68
Mercy ID
V-00020-01
Encounter Date
01/05/2000
Last
Gallardo
First
Estela
DOB
08/08/1968
County
Fulton
Street
728 Lindberg Dr. Apt. C
City
Atlanta
State
GA
Zip
30324-
Home
(404) 812-9265
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Palma
First
Domingo
DOB
08/04/1969
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
Daniel Diaz 11/10/1993 Father GA/USA
David Diaz 05/25/1988 Father GA/USA
Guadalupe Diaz 10/15/1992 Father GA/USA
Marcos A. Diaz 04/10/1983 Father GA/USA
Maria E. Diaz 08/10/1985 Father 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
Y. Garcia
Referred By