SAN-JUL-66

Code
SAN-JUL-66
Mercy ID
V-00584-01
Encounter Date
07/13/2001
Last
Sanchez
First
Julietta
DOB
11/30/1966
County
Dekalb
Street
1495 Colony East Circle
City
Stone mountain
State
GA
Zip
30083-
Home
(404) 286-5990
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
Diaz
First
Juan
DOB
05/16/1975
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
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
Andrew Phommaly 09/21/1999 Mother w/Stepfather GA/USA
Brandon Lugardo 08/23/1988 Mother w/Stepfather GA/USA
Randell Lugardo 02/10/1993 Mother w/Stepfather GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Peggy Ryan N. D. C.