ZAR-MIG-57

Code
ZAR-MIG-57
Mercy ID
V-00071-02
Encounter Date
02/16/2000
Last
Zarate
First
Miguel
DOB
11/29/1957
County
Dekalb
Street
1990 South Columbia Place
City
Decatur
State
GA
Zip
30032-
Home
(404) 288-8657
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Preschool

Spouse Information

Last
Zarate
First
Aurelia
DOB
12/26/1964
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
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
Evangelina Zarate N/A Parents GA/USA
Gabriela Zarate N/A Parents GA/USA
Josefina Zarate N/A Parents GA/USA
Marcos Zarate N/A Parents GA/USA
Olivia Zarate N/A Parents GA/USA
Rocio Zarate N/A Parents GA/USA
Susana Zarate N/A Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
Y. Garcia
Referred By