GAR-DIA-84

Code
GAR-DIA-84
Mercy ID
V-03115-01
Encounter Date
07/01/2009
Last
Garcia
First
Diana
DOB
06/06/1984
County
Rockdale
Street
1232 Old Covington Hwy. # A
City
Conyers
State
GA
Zip
30012-
Other
(404) 287-8151
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Rosales
First
Orlando
DOB
04/02/1987
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
Isabel Carmona 11/17/2001 Grandmother Mexico-Paterna
Kevin G. Carmona 06/14/2003 Grandmother Mexico-Paterna
Megan Oveth Rosales 01/07/2009 Parents GA/USA

Former Spouse 1 Information

Last
Carmona
First
Javier francisco
DOB
10/05/1983
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
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Juana