FLO-GAC-70

Code
FLO-GAC-70
Mercy ID
V-02799-01
Encounter Date
05/27/2008
Last
Flores
First
Graciela
DOB
06/20/1970
County
Gwinnett
Street
5136 Devora Dr. NE
City
Doraville
State
GA
Zip
30340-
Home
(678) 255-8791
Cell
(404) 283-4812
Family Status
Two parent family w/children
COB
El Salvador
Gender
Female
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Madrazo
First
Selvin
DOB
11/25/1968
Address
N/A
Telephone
N/A
COB
El Salvador
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
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