MAR-OTI-65

Code
MAR-OTI-65
Mercy ID
V-00064-01
Encounter Date
02/08/2000
Last
Marroquin
First
Otilia
DOB
12/29/1965
County
Fulton
Street
2472 Avina Dr. Apt. 7
City
Atlanta
State
GA
Zip
30324-
Home
(404) 364-9848
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Isidor
First
Felipe
DOB
N/A
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
Elizabeth Barraza 11/20/1980 Parents GA/USA
Marcela Barraza 01/05/1991 Parents GA/USA
Michael Barraza 07/03/1990 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
Y. Garcia
Referred By