TAR-MAN-72

Code
TAR-MAN-72
Mercy ID
V-00362-02
Encounter Date
12/05/2000
Last
Tarango
First
Manuel
DOB
07/25/1972
County
Dekalb
Street
1331 nortncliff valley apt d
City
Atlanta
State
GA
Zip
30319-
Home
(404) 327-7752
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Other
Education Level
Grade school

Spouse Information

Last
Tarango
First
Silvia
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
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
jesus funes N/A N/A GA/USA
roxana funes N/A N/A GA/USA
NOTES
***SUVERDADERO NOMBRE ES JESUS FUNES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
K. Aleman
Data Entry
S. Aviña
Referred By