GAR-ROS-55

Code
GAR-ROS-55
Mercy ID
V-02308-01
Encounter Date
08/28/2006
Last
Garcia
First
Rosa
DOB
01/25/1951
County
Gwinnett
Street
893 Brandwood Way NW
City
Lilburn
State
GA
Zip
30047-
Home
(770) 925-0833
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Echeverria
First
Geronimo
DOB
03/03/1955
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
YES
Consentimiento De Participar
YES

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
Armando Echeverria 11/20/1994 Mother GA/USA
Marisol Echeverria 11/12/1979 Mother GA/USA
Yeny Echeverria 07/26/1978 Mother GA/USA
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