GAR-AND-79

Code
GAR-AND-79
Mercy ID
V-03029-02
Encounter Date
03/24/2009
Last
Garcia
First
Andres
DOB
06/18/1979
County
Cherokee
Street
6359 Bells Ferry Road Lot 298
City
Acworth
State
GA
Zip
30102-
Cell
(404) 454-1779
Family Status
Adult couple-no children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Medina
First
Sheila
DOB
08/09/1981
Address
N/A
Telephone
N/A
COB
Puerto Rico
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
Alondra Sofia Garcia 05/14/2005 DFACS Cherokee
Ian Carlos Juarbe 08/31/1998 DFACS Cherokee
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea-Juana/Radio Viva