GER-MAR-64

Code
GER-MAR-64
Mercy ID
V-03133-01
Encounter Date
08/05/2009
Last
German
First
Margarita
DOB
12/21/1964
County
Barrow
Street
133 Star St. W
City
Bethelehem
State
GA
Zip
30620-
Cell
(770) 206-0094
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Barrueta
First
Luis
DOB
01/11/1965
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
YES
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
Anahi Barrueta 10/31/1988 Mother GA/USA
Gabriela Barrueta 12/18/1991 Mother GA/USA
Luis E. Barrueta 06/30/1996 Mother GA/USA
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
liea-juana