GAR-ANG-79

Code
GAR-ANG-79
Mercy ID
V-02966-01
Encounter Date
12/11/2008
Last
Garcia
First
Angelica
DOB
05/25/1979
County
Fulton
Street
1231 Wood Creek
City
Roswell
State
GA
Zip
30075-
Home
(770) 343-9572
Work
(770) 993-9817
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Alcaraz
First
Gustavo
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
No
Consentimiento De Participar
No

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
Angela Garcia N/A Grandmother paterna
Cyndi Garcia 10/05/2005 Mother GA/USA
Ezequiel Garcia N/A Grandmother paterna
Gustavo Jr. Alcaraz 07/29/2008 Mother GA/USA
Jose L Garcia N/A Grandmother paterna
Luis E. Garcia N/A Grandmother materna

Former Spouse 1 Information

Last
Hernandez
First
Luis e.
DOB
N/A
Telephone
N/A
COB
N/A
Home Owner
No
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
J. Manzo
Referred By
Oficina de gobierno