GAR-SIL-74

Code
GAR-SIL-74
Mercy ID
V-00689-01
Encounter Date
02/19/1999
Last
Garcia
First
Silvia
DOB
03/08/1974
County
Dekalb
Street
3136 bufford hwy apt d-3
City
Atlanta
State
GA
Zip
30324-
Home
(770) 393-9622
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Bahena
First
Jose
DOB
11/30/1967
Address
N/A
Telephone
(404) 329-0638
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
dianira 12/08/1991 Mother GA/USA
joselin 01/05/1991 Mother 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
S. Aviña
Referred By