MEN-MDC-65

Code
MEN-MDC-65
Mercy ID
V-00311-01
Encounter Date
10/19/2000
Last
Mendez
First
Maria del carmen
DOB
12/06/1965
County
Dekalb
Street
1355 briarwood rd I-9
City
Atlanta
State
GA
Zip
30319-
Home
(404) 467-4309
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Garza
First
Jose
DOB
03/15/1962
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
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
karla garza 08/15/1994 Parents GA/USA
maria del carmen garz 02/24/1985 Parents GA/USA
roberto carlos garza 04/15/1989 Parents GA/USA
sarahi garza 08/24/1997 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
S. Aviña
Referred By