GEN-FAU-71

Code
GEN-FAU-71
Mercy ID
V-01139-02
Encounter Date
02/05/2003
Last
Genchi
First
Fausto
DOB
05/20/1971
County
Fulton
Street
2433 Norcross Dr. Apt. C
City
Norcross
State
GA
Zip
30324-
Home
(404) 949-0797
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Palacios
First
Maria
DOB
01/29/1971
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
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
Lizbeth Guenchi 01/09/1990 Parents GA/USA
Lizbeth Rubi 01/09/1990 Parents GA/USA
Luis E. Guenchi 05/03/1989 Parents GA/USA
NOTES

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