GAR-ANA-85

Code
GAR-ANA-85
Mercy ID
V-02853-01
Encounter Date
07/14/2008
Last
Garcia
First
Ana
DOB
01/19/1985
County
Dekalb
Street
1396 Northcliff Valley Way Apt. E
City
Atlanta
State
GA
Zip
30319-
Cell
(404) 822-8018
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school

Spouse Information

Last
N/A
First
N/A
DOB
N/A
Address
N/A
Telephone
N/A
COB
N/A
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
Denise Maldonado 08/28/2005 Mother GA/USA
Joseph Maldonado 09/13/2008 Mother GA/USA

Former Spouse 1 Information

Last
Maldonado
First
David
DOB
04/11/1980
Telephone
N/A
COB
N/A
Home Owner
No
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
linea-Juana