FRA-PAT-82

Code
FRA-PAT-82
Mercy ID
V-02699-01
Encounter Date
01/15/2008
Last
Franco
First
Patricia
DOB
06/23/1982
County
Fulton
Street
999 Shelter
City
Atlanta
State
GA
Zip
30317-
Cell
(956) 220-6157
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Shelter
Education Level
High school graduate

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
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
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Brandon Swenson 09/02/2006 Mother GA/USA

Former Spouse 1 Information

Last
Swenson
First
Gary
DOB
09/05/1977
Telephone
N/A
COB
usa
Home Owner
YES
NOTES
Se refirio a DRCC

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