GAR-MAC-78

Code
GAR-MAC-78
Mercy ID
V-02538-03
Encounter Date
04/27/2009
Last
Garcia
First
Marciano
DOB
01/22/1978
County
Dekalb
Street
6800 Peachtree Ind. Blvd. A-4
City
Doraville
State
GA
Zip
30360-
Cell
(404) 667-1264
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Solis
First
Lucero
DOB
08/26/1983
Address
N/A
Telephone
(404) 667-0148
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
Alfonso Cuenca Jr. 06/10/2006 Mother w/Stepfather GA/USA
Allison Mitchell Cuenca 04/25/2003 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
C. Martinez
Data Entry
J. Manzo
Referred By
Wife