GUE-RAQ-59

Code
GUE-RAQ-59
Mercy ID
V-03302-02
Encounter Date
05/04/2010
Last
Guerra
First
Raquel
DOB
09/13/1959
County
Fulton
Street
2788 Defroors Ferry Rd. Apt. 53
City
Atlanta
State
GA
Zip
30318-
Cell
(678) 315-5574
Family Status
Two parent family w/children
COB
Guatemala
Gender
Male
Housing
Single Family
Education Level
Adult, no formal education

Spouse Information

Last
Guerra
First
Jesus
DOB
01/03/1965
Address
N/A
Telephone
N/A
COB
Guatemala
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
YES
1
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
NOTES

Media Authoritation

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/corte fulton