ZAR-FRA-65

Code
ZAR-FRA-65
Mercy ID
V-02000-01
Encounter Date
08/26/2005
Last
Zarate
First
Francisca
DOB
12/03/1965
County
Gwinnett
Street
5708 Darry Cr.
City
Norcross
State
GA
Zip
30093-
Cell
(678) 472-8268
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Other

Spouse Information

Last
Reyes
First
Jaime
DOB
06/15/1963
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
Fernanda Reyes 12/30/1999 Parents GA/USA
Gabriela Reyes 10/24/1989 Parents GA/USA
Jaime Reyes 08/04/1993 Parents GA/USA
Juan David Reyes 02/08/2004 Parents GA/USA
Maria Reyna Reyes 12/29/1994 Parents GA/USA
Mariana Reyes 12/06/1987 Parents GA/USA
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