LOR-MAR-68

Code
LOR-MAR-68
Mercy ID
V-00675-02
Encounter Date
09/11/2001
Last
Loredo
First
Mario
DOB
01/21/1968
County
Dekalb
Street
2230 Plaster Rd. NE Apt.
City
Atlanta
State
GA
Zip
30345-
Home
(678) 464-3647
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school

Spouse Information

Last
Martinez
First
Pascuala
DOB
N/A
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
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
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
Alexis N/A Mother GA/USA
Franklin N/A N/A GA/USA
Jovany N/A N/A GA/USA
Marcos N/A N/A GA/USA
Sandra N/A N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Dekalb County