GAR-HER-49

Code
GAR-HER-49
Mercy ID
V-01013-02
Encounter Date
09/24/2002
Last
Garcia
First
Heriberto
DOB
05/02/1949
County
Other
Street
125 Northwood Dr. 320
City
Atlanta
State
GA
Zip
30342-
Home
(404) 840-7131
Cell
(678) 523-4028
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Adult, no formal education

Spouse Information

Last
Ocampo
First
Manuela
DOB
N/A
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
YES
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
Patricia Garcia 07/21/1997 Parents GA/USA
NOTES
DUI in 1996

Media Authoritation

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