TRA-ARG-73

Code
TRA-ARG-73
Mercy ID
V-01794-01
Encounter Date
12/23/2004
Last
Trachtenberg
First
Argentina
DOB
09/21/1973
County
Cherokee
Street
1121 Bridge Mill Ave.
City
Canton
State
GA
Zip
30114-
Home
(770) 345-6468
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Trachtenberg
First
Jacobo
DOB
07/30/1963
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
No
Driver
No
Home Owner
YES
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
Jacobo Trachtenberg 12/07/1999 Parents GA/USA
Jose Alejandra Gomar 02/11/1993 Mother w/Stepfather GA/USA
Jose Jose Gomar 08/28/1990 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By