LOP-LOR-68

Code
LOP-LOR-68
Mercy ID
V-00917-01
Encounter Date
04/24/2002
Last
Lopez
First
Lorena
DOB
12/29/1968
County
Fulton
Street
2960 Sandy Circle
City
Riverdale
State
GA
Zip
30296-
Home
(770) 909-8193
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate

Spouse Information

Last
Lopez
First
David
DOB
06/20/1963
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
Abel Lopez 10/12/1993 Mother GA/USA
Abraham Lopez 11/29/1992 Mother GA/USA
David Lopez 04/29/1989 Mother GA/USA
Lorena Lopez 09/09/1990 Mother 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
Walk-In/Annual Return