CAR-TAN-80

Code
CAR-TAN-80
Mercy ID
V-01823-01
Encounter Date
02/02/2005
Last
Carrasco
First
Tania
DOB
03/28/1980
County
Dekalb
Street
3160 Buford Hwy Apt H3
City
Atlanta
State
GA
Zip
30329-
Home
(678) 755-5312
Cell
(404) 447-8425
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma

Spouse Information

Last
Zamarripa
First
Fernando
DOB
06/01/1979
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
YES
Consentimiento De Participar
YES

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
Andy Zamarripa 08/31/2004 Mother w/Stepfather GA/USA
Christopher Zamarripa 12/30/1998 Mother w/Stepfather GA/USA
Landon Zamarripa 06/02/2002 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

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