GAR-PAT-70

Code
GAR-PAT-70
Mercy ID
V-02658-01
Encounter Date
11/28/2007
Last
Garcia
First
Patricia
DOB
11/18/1970
County
Gwinnett
Street
2587 Gwinn Rd. #A-2
City
Norcross
State
GA
Zip
30071-
Cell
(678) 256-3518
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education

Spouse Information

Last
Garcia
First
Jose
DOB
10/28/1968
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
Avelino Rodriguez 10/10/1990 Mother w/Stepfather GA/USA
Jose A. Garcia 06/02/2000 Parents GA/USA
Maria Angelita Rodriguez 07/01/1998 Mother w/Stepfather GA/USA
Pedro Rodriguez 12/18/1992 Mother w/Stepfather GA/USA

Former Spouse 1 Information

Last
Rodriguez
First
Pedro
DOB
07/09/1960
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-Griselda