Code
GAR-CAR-65
Mercy ID
B-00014-01
Encounter Date
06/08/1999
Last
Garcia
First
Carmen
DOB
08/16/1965
County
Gwinnett
Street
1894 Guardian Way
City
Lawrenceville
State
GA
Zip
30043-
Home
(678) 377-1677
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Saucedo
First
Jose
DOB
09/26/1964
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
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
YES
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No

Driver
No
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
Aurora Jesus Garcia 08/11/1999 Mother GA/USA
Jesse Calderon 08/17/1987 Mother GA/USA
Mitchell Calderon 07/22/1985 Father California
William Calderon 12/26/1990 Mother 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
J. Manzo
Referred By