MAR-MAR-75

Code
MAR-MAR-75
Mercy ID
V-00740-01
Encounter Date
11/07/2001
Last
Marquez lara
First
Maria
DOB
06/10/1975
County
Cherokee
Street
640 Lake Side Dr. # 12
City
Canton
State
GA
Zip
30115-
Home
(404) 401-1180
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Lara
First
Marcelino
DOB
10/05/1975
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
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 Macareno 03/23/1993 Parents GA/USA
Diamond Ruby Macareno 04/03/1997 Parents GA/USA
Lury Lara 09/29/1999 Parents GA/USA
Miriam Macareno 12/29/1990 Parents 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