MOR-GRA-76

Code
MOR-GRA-76
Mercy ID
V-00395-01
Encounter Date
01/24/2001
Last
Moran
First
Graciela
DOB
05/08/1976
County
Dekalb
Street
3549 apt-b Plasantdale
City
Doraville
State
GA
Zip
30340-
Home
(678) 380-0971
Family Status
Single adult
COB
Argentina
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Paubletti
First
Ricardo
DOB
08/21/1971
Address
N/A
Telephone
N/A
COB
Argentina
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
YES
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
luciano gabriel moran N/A N/A GA/USA
stefania paubletti N/A N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
D. Gomez
Referred By
7764 michell