GAT-ELB-77

Code
GAT-ELB-77
Mercy ID
V-00247-02
Encounter Date
07/18/2000
Last
Gatica
First
Elber
DOB
04/18/1977
County
Fulton
Street
2127 Vineyard Walk Apt. 7
City
Atlanta
State
GA
Zip
30316-
Cell
(404) 783-6469
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Noyola
First
Raquel
DOB
03/03/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
YES
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
Elber Gatica 02/06/1999 Parents GA/USA
Jose Manuel Gatica 10/14/2008 Parents GA/USA
Kevin Gatica 10/17/2005 Parents GA/USA
Lorena Samanta Gatica 11/28/1996 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
D. Gomez
Referred By