ZUÑ-ANA-77

Code
ZUÑ-ANA-77
Mercy ID
V-00647-01
Encounter Date
08/15/2001
Last
Zuñiga
First
Ana
DOB
07/01/1977
County
Hall
Street
0000 Willow Rich
City
Gainsville
State
GA
Zip
30504-
Home
(770) 533-9992
Cell
(770) 538-6001
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Zuñiga
First
Jesus
DOB
04/10/1970
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
Alejandro Zuñiga 05/25/1995 Mother GA/USA
Lizbeth Zuñiga 11/23/1998 Mother GA/USA
Luis Zuñiga 06/09/1996 Mother 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
Ma. Eugenia x7764