BAK-LIL-76

Code
BAK-LIL-76
Mercy ID
V-01845-01
Encounter Date
03/08/2005
Last
Baker
First
Lilia
DOB
06/13/1976
County
Henry
Street
1030 Ivey Lane
City
Mcdonald
State
GA
Zip
30253-
Home
(770) 914-7998
Family Status
Single adult
COB
Panamá
Gender
Female
Education Level
Some College

Spouse Information

Last
Baker
First
Gerald
DOB
02/18/1963
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
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
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Francisco Paternina 12/13/1990 Mother GA/USA
Marquier Menchaca 06/22/2000 Mother GA/USA
Miguel Anderson 01/16/1997 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
K. Aleman
Referred By
Damaryz