NOY-RAQ-75

Code
NOY-RAQ-75
Mercy ID
V-00247-01
Encounter Date
07/05/2000
Last
Noyola
First
Raquel
DOB
03/03/1974
County
Fulton
Street
2127 Vineyard Walk
City
Atlanta
State
GA
Zip
30316-
Cell
(404) 453-7140
Other
(404) 783-6469
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school

Spouse Information

Last
Gatica
First
Elber
DOB
04/18/1974
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
YES
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
Elver Gatica Noyola 03/26/1999 Parents GA/USA
Jose Gatica 10/14/2008 Parents GA/USA
Keven Gatica 10/17/2005 Parents GA/USA
Lorena Sumontu Gatica 11/28/1996 Parents GA/USA
NOTES

Media Authoritation

DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
D. Gomez
Referred By
Jacqueline/Entrevista