Code
JAC-YEN-82
Mercy ID
V-02866-01
Encounter Date
08/06/2008
Last
Jacinto
First
Yenitza
DOB
03/07/1982
County
Cobb
Street
750 Six Flags Road Lot 261
City
Austeni
State
GA
Zip
30168-
Home
(770) 739-4925
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Pacheco
First
Jorge
DOB
06/03/1974
Address
N/A
Telephone
(770) 739-4925
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
No
Driver License Date
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
Geraldi Pacheco 02/23/2008 Parents GA/USA
Melani Pacheco 05/05/2001 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
J. Manzo
Referred By
cell-Griselda