Code
ESC-GRA-58
Mercy ID
V-00305-01
Encounter Date
10/02/2000
Last
Escobar
First
Graciela
DOB
01/31/1958
County
Fulton
Street
1458 norman berry
City
Atlanta
State
GA
Zip
30334-
Home
(404) 766-2440
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Hernandez
First
Juan
DOB
12/27/1962
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
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
Driver License Date
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
ana elena morales 02/21/1984 Father mexico
isidro morales 05/15/1978 Father mexico
raul morales 02/22/1977 Father GA/USA
rosalba morales 06/18/1980 Father mexico
victor morales 12/23/1985 Father mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
S. AviƱa
Referred By
slivia smith