VEG-REI-81

Code
VEG-REI-81
Mercy ID
V-02862-01
Encounter Date
08/05/2008
Last
Garcia
First
Reynalda
DOB
02/16/1981
County
Gwinnett
Street
6148 Susan Lane
City
Doraville
State
GA
Zip
30340-
Cell
(678) 668-0211
Family Status
Two parent family w/children
COB
USA
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Roman
First
Moises
DOB
08/28/1982
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
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
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Bryan Garcia 05/09/2001 Mother w/Stepfather GA/USA
Dania Lizeth Garcia 08/11/1997 Grandmother Mexico-Materna
Fatima Garcia 06/07/2006 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
YES
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
Felipe