VAR-NOR-66

Code
VAR-NOR-66
Mercy ID
V-02295-01
Encounter Date
08/15/2006
Last
Varas
First
Nora
DOB
04/26/1966
County
Cowetta
Street
6430 Luthersville Rd.
City
Gay
State
GA
Zip
30218-
Cell
(770) 927-6499
Other
(770) 304-0966
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Garcia
First
Trinidad
DOB
01/11/1968
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
Jose Garcia 10/23/1998 Parents GA/USA
Viviana Caceres 11/21/1992 Grandparents Peru
NOTES

Media Authoritation

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