SOT-MIR-61

Code
SOT-MIR-61
Mercy ID
V-00708-01
Encounter Date
10/12/2001
Last
Soto
First
Miriam
DOB
10/19/1961
County
Gwinnett
Street
2305 Howell Trace
City
Duluth
State
GA
Zip
30096-
Home
(770) 814-9416
Cell
(770) 622-2200
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Garcia
First
Orlando
DOB
08/19/1955
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Lindsay Garcia 12/15/1991 Mother GA/USA
Ratford Garcia 04/06/1983 Mother GA/USA
Stacy Garcia 04/08/1989 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
Mitchell x7764