MAR-ZEN-72

Code
MAR-ZEN-72
Mercy ID
V-02704-01
Encounter Date
02/05/2008
Last
Martinez
First
Zenaida
DOB
03/02/1972
County
Dekalb
Street
2748 Shallowford Road Apt.-D
City
Chamblee
State
GA
Zip
30341-
Cell
(770) 454-2716
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Garduño
First
Reynaldo
DOB
09/17/1971
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
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
Jose Daniel Garduño 02/07/2002 Parents GA/USA
Reynaldo Garduño 08/29/1989 Parents GA/USA
Rolando Garduño 04/19/1991 Parents GA/USA
Zenaida Garduño 10/10/2003 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By