BOC-GRI-74

Code
BOC-GRI-74
Mercy ID
V-02958-01
Encounter Date
12/08/2008
Last
Bocanegra
First
Griselda
DOB
03/04/1974
County
Gwinnett
Street
217 Hampton Ridge Rd.
City
Norcross
State
GA
Zip
30093-
Cell
(770) 369-4918
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
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
Eduardo Bocanegra 09/19/1995 Mother GA/USA
Jonathan Loredo 09/19/2003 Mother GA/USA
Veronica Loredo 04/27/1999 Mother GA/USA

Former Spouse 1 Information

Last
Loredo
First
Pablo
DOB
04/27/1972
Telephone
N/A
COB
Mexico
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Asociacion latina