JAI-ALE-65

Code
JAI-ALE-65
Mercy ID
V-00454-01
Encounter Date
03/20/2001
Last
Jaime
First
Alejandra
DOB
11/26/1965
County
Gwinnett
Street
2336 Valley Dr
City
Norcross
State
GA
Zip
30071-
Home
(770) 448-7478
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Lopez
First
Maximo
DOB
06/25/1966
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
YES
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
Cristian Lopez 05/17/1992 Parents GA/USA
Fredy Lopez 05/03/1988 Mother GA/USA
Janet Jaimes 06/11/1993 Parents GA/USA
Jessica Lopez 10/13/1999 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
S. Aviña
Referred By
walkin maria de jesus