LUV-MAR-69

Code
LUV-MAR-69
Mercy ID
V-00856-01
Encounter Date
03/05/2002
Last
Luviano
First
Maricela
DOB
03/06/1969
County
Gwinnett
Street
5625 Wylake Dr.
City
Norcross
State
GA
Zip
30093-
Home
(770) 564-9370
Cell
(770) 265-1619
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Olvera
First
Timoteo
DOB
05/05/1968
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
YES
Consentimiento De Participar
YES

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
Madeline Olvera 01/15/1996 Mother GA/USA
Melanie Olvera 01/25/2001 Mother GA/USA
Oscar Daniel Leon 06/17/1985 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
Peggy Ryan