GAR-LUI-68

Code
GAR-LUI-68
Mercy ID
V-03152-02
Encounter Date
09/22/2009
Last
Garcia
First
Luis
DOB
08/05/1968
County
Gwinnett
Street
4361 E. Meadow Drive
City
Duluth
State
GA
Zip
30096-
Work
(404) 351-7656
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Some College

Spouse Information

Last
Quezada
First
Gabriela
DOB
07/29/1967
Address
N/A
Telephone
(770) 597-0006
COB
Mexico
Home Owner
YES
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
Viridiana Garcia Hernandez 10/18/2005 Parents GA/USA
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-Comunidad