GAR-ERI-80

Code
GAR-ERI-80
Mercy ID
V-02593-01
Encounter Date
09/25/2007
Last
Garcia
First
Erica
DOB
03/10/1980
County
Dekalb
Street
3741 Maryland Road
City
Atlanta
State
GA
Zip
30340-
Cell
(678) 651-7520
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
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
Alexander Lorenzo 05/16/2002 Mother GA/USA
Brayan Lorenzo 12/14/2000 Mother GA/USA
Marcos Lorenzo 01/19/1998 Grandmother Mexico
Ricardo Lorenzo 03/24/2005 Mother GA/USA

Former Spouse 1 Information

Last
Lorenzo
First
Marcos
DOB
08/27/1979
Telephone
N/A
COB
Mexico
Home Owner
No
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
linea-Juana