DOR-ANT-77

Code
DOR-ANT-77
Mercy ID
V-03448-02
Encounter Date
10/26/2010
Last
Dorantes
First
Antonio
DOB
12/11/1977
County
Fulton
Street
125 Northwood Dr. Apt. 436
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 322-5736
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade school

Spouse Information

Last
Garcia
First
Samira
DOB
12/15/1977
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
YES
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
YES
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
Joselyn Dorantes 01/13/2002 Parents GA/USA
Kevin Dorantes 02/11/1998 Grandmother Paterna-Mexico
Michael Dorantes 12/15/1997 Grandmother Paterna-Mexico
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
YES
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
J. Manzo
Referred By
linea--Fulton Cty. Court