FRA-ANT-68

Code
FRA-ANT-68
Mercy ID
V-01576-02
Encounter Date
04/20/2004
Last
Franco
First
Antonio
DOB
03/17/1968
County
Fulton
Street
710 Murphy Ave. SW Apt A12
City
Atlanta
State
GA
Zip
30310-
Home
(404) 219-4067
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
Franco
First
Yolanda
DOB
N/A
Address
100 Shennon Chase Dr. Fariburn GA 30213
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
Antonio Franco N/A Mother GA/USA
Guadalupe Franco N/A Mother GA/USA
Jessica Franco N/A Mother 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
K. Aleman
Referred By