GAR-GRA-77

Code
GAR-GRA-77
Mercy ID
V-02030-01
Encounter Date
09/09/2005
Last
Garcia
First
Graciela
DOB
09/21/1977
County
Gwinnett
Street
2808 Preston Lake Dr.
City
Norcross
State
GA
Zip
30084-
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Garcia
First
Alejandro
DOB
02/22/1974
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
YES
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
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
Maria Garcia 02/11/1992 Mother GA/USA
Yajaira Garcia 05/18/1999 Mother GA/USA
Yuritza Garcia 04/18/1995 Mother 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
R. Gonzalez
Referred By