GAR-MAR-76

Code
GAR-MAR-76
Mercy ID
V-02180-01
Encounter Date
02/21/2006
Last
Garcia
First
Maricela
DOB
05/30/1976
County
Cherokee
Street
5634 Tayson Drive
City
Acworth
State
GA
Zip
30102-
Cell
(678) 401-7342
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Agustin
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
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
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alejandro Garcia 08/05/2004 Parents GA/USA
Antonio Garcia 03/01/2002 Parents GA/USA
Johny Garcia 03/16/1994 Father w/Stepmother GA/USA
Paulina Garcia 05/09/2003 Parents GA/USA
Ricardo Garcia 05/12/2000 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
R. Gonzalez
Referred By
Rafael Miranda