BOC-CAR-56

Code
BOC-CAR-56
Mercy ID
V-00773-01
Encounter Date
12/12/2001
Last
Bocanegra chiok
First
Carmen
DOB
09/20/1956
County
Dekalb
Street
2767 Briarglenn Dr.
City
Atlanta
State
GA
Zip
30340-
Home
(404) 496-1635
Cell
(404) 427-0787
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Bocanegra
First
Juan
DOB
10/27/1956
Address
N/A
Telephone
N/A
COB
Perú
Home Owner
No
Driver
No
Home Owner
YES
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
John Joseph Bocanegra 08/26/1998 Parents 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
K. Aleman
Referred By
x7764 Rebecca