GAL-MAR-72

Code
GAL-MAR-72
Mercy ID
V-02909-01
Encounter Date
10/13/2008
Last
Gallardo
First
Margarita
DOB
10/17/1972
County
Newton
Street
6348 Turner Lake Road Lot 13
City
Covington
State
GA
Zip
30014-
Home
(770) 784-0296
Cell
(678) 760-0361
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate

Spouse Information

Last
Cuenca
First
Leobardo
DOB
04/10/1972
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
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
Bianca Cuenca 09/18/1996 Parents GA/USA
Jesus Cuenca 03/25/2005 Parents GA/USA
Leo Cuenca 03/07/1998 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
Lenea-Griselda