BAR-MAR-68

Code
BAR-MAR-68
Mercy ID
V-02221-01
Encounter Date
04/12/2006
Last
Barranco
First
Maria
DOB
05/12/1968
County
Cherokee
Street
152 Riverchase
City
Woodstock
State
GA
Zip
30188-
Home
(770) 592-8032
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Juares
First
Ricardo
DOB
N/A
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
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
Diana Juares 03/20/1992 Parents GA/USA
Juan Campos N/A Aunt GA/USA
Maria Juares 09/18/1988 Parents GA/USA
Vanessa Juares 09/03/1996 Parents GA/USA
NOTES
Juan Campos, nephew, lives with them.

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
R. Gonzalez
Referred By
Fabiola Gomez