GAR-GRA-73

Code
GAR-GRA-73
Mercy ID
V-02786-01
Encounter Date
05/15/2008
Last
Garcia
First
Graciela
DOB
11/26/1973
County
Hall
Street
2213 Fouth Oaks
City
Gainsville
State
GA
Zip
30507-
Cell
(678) 656-1683
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
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
Adriana Garcia 09/07/2006 Mother GA/USA
Gustavo Garcia 09/12/1995 Mother GA/USA
Jamin Garcia 06/23/2004 Mother GA/USA
Jenifer Manzanita 02/26/1992 Mother GA/USA

Former Spouse 1 Information

Last
Garcia
First
Gustavo
DOB
01/17/1978
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