GAR-LAU-71

Code
GAR-LAU-71
Mercy ID
V-01927-01
Encounter Date
05/16/2005
Last
Garcia
First
Laura
DOB
06/12/1971
County
Gwinnett
Street
5664 Kimberly Lane
City
Norcross
State
GA
Zip
30071-
Home
(678) 558-8900
Family Status
Adult coupie-no children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Huerta
First
Loreto
DOB
09/09/1973
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
Beatriz Diaz 10/16/1994 Grandparents Mexico
Laura Oliva 08/18/1986 Grandparents Mexico
Maria Guadalupe Diaz 09/09/1995 Grandparents Mexico
NOTES

Media Authoritation

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