ZUÑ-SAN-75

Code
ZUÑ-SAN-75
Mercy ID
V-00646-01
Encounter Date
07/20/2001
Last
Zuñiga
First
Sandra
DOB
04/14/1975
County
Gwinnett
Street
6204 Cruce Rd.
City
Lawrenceville
State
GA
Zip
30044-
Home
(770) 476-0760
Cell
(770) 381-2708
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical

Spouse Information

Last
Rivera
First
Julio cesar
DOB
07/07/1976
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
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
Dilaila 05/04/2000 Parents GA/USA
Jasmin Zuñiga 05/22/1997 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. Perez
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia