GAR-MAA-83

Code
GAR-MAA-83
Mercy ID
V-02810-01
Encounter Date
06/11/2008
Last
Garcia
First
Maria
DOB
08/25/1983
County
Gwinnett
Street
5760 Narshes
City
Ct.
State
GA
Zip
30071-
Cell
(678) 914-8324
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Cruz
First
Juan carlos
DOB
05/30/1974
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
Karla Cruz 08/10/2002 Parents GA/USA
Viviana Cruz 04/18/2007 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
G. Landeros
Referred By
walk in