MOR-MAR-73

Code
MOR-MAR-73
Mercy ID
V-00687-01
Encounter Date
09/17/2001
Last
Moreno
First
Maria
DOB
12/15/1973
County
Gwinnett
Street
1659 Jennings Way
City
Norcross
State
GA
Zip
30093-
Home
(678) 969-0668
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Garcia
First
Rolando
DOB
12/01/1974
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
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
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
Ambar 07/29/1997 N/A GA/USA
Maria Thaidi Garcia 01/10/1993 Parents GA/USA
Rolando Jonathan Garcia 01/10/1993 Parents 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
x8162 Julia Perilla