FRA-YOL-75

Code
FRA-YOL-75
Mercy ID
V-01576-01
Encounter Date
04/14/2004
Last
Franco
First
Yolanda
DOB
06/22/1975
County
Fulton
Street
100 Channel Chase Dr.
City
Fairburn
State
GA
Zip
30213-
Home
(770) 306-2950
Cell
(404) 218-8786
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Franco
First
Antonio
DOB
03/17/1968
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
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Anthony Franco 09/26/2001 Mother GA/USA
Guadalupe Franco 04/03/1998 Mother GA/USA
Jessica Franco 12/09/1992 Mother 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
R. Miranda
Referred By
Rafael