GAR-MAU-75

Code
GAR-MAU-75
Mercy ID
V-02913-01
Encounter Date
10/15/2008
Last
Garcia
First
Maure
DOB
07/13/1976
County
Fulton
Street
7829 Midway Road
City
Alpharetta
State
GA
Zip
30004-
Home
(678) 947-6016
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Castro
First
Vicente
DOB
07/19/1974
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
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
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
Daisy Castro 03/14/2004 Parents GA/USA
Jennifer Castro 05/31/1998 Parents GA/USA
Yesenia Castro 04/27/2001 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
1