UMA-CAR-55

Code
UMA-CAR-55
Mercy ID
V-02191-02
Encounter Date
03/02/2006
Last
Umaña
First
Carlos
DOB
11/25/1955
County
Gwinnett
Street
3203 Park Colony Dr
City
Norcross
State
GA
Zip
30093-
Home
(770) 875-5375
Family Status
Two parent family w/children
COB
El Salvador
Gender
Male
Housing
Doubling Up
Education Level
Preschool

Spouse Information

Last
Serrano
First
Julie
DOB
06/09/1973
Address
N/A
Telephone
N/A
COB
USA
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
YES
Gwinnett
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
Aprilrose Umaña 04/25/1998 Parents GA/USA
Carlos Ruben Umaña 11/04/1999 Parents GA/USA
Dakota Umaña 05/22/1994 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
R. Gonzalez
Referred By