GAR-ALI-72

Code
GAR-ALI-72
Mercy ID
V-02384-01
Encounter Date
12/27/2006
Last
Garcia
First
Elizabeth
DOB
12/08/1972
County
Gwinnett
Street
not given
City
Lawrenceville
State
GA
Zip
30044-
Home
(999) 999-9999
Cell
(678) 598-4509
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma

Spouse Information

Last
Wenn
First
Antoni
DOB
01/29/1962
Address
N/A
Telephone
N/A
COB
USA
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
Catrina Wenn 07/16/2006 Parents GA/USA
Gloria Garcia 02/09/1989 Mother w/Stepfather GA/USA
Miguel Garcia 08/12/1990 Mother w/Stepfather GA/USA
Selci Garcia 09/16/2000 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
J. Manzo
Referred By
walkin