Code
PAC-LUC-81
Mercy ID
V-02366-01
Encounter Date
10/18/2006
Last
Pacheco
First
Lucia
DOB
02/18/1981
County
Gwinnett
Street
2055 North Dr.
City
Lawrenciville
State
GA
Zip
30044-
Home
(678) 442-0644
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garcia
First
Tereso
DOB
02/13/1976
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
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
Janed Garcia 04/26/2007 Parents GA/USA
Jared Garcia 04/19/2005 Parents GA/USA
Lesly Garcia 12/11/1996 Parents GA/USA
mayra Garcia 09/11/1998 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
J. Manzo
Referred By
walkin