LEM-MIR-69

Code
LEM-MIR-69
Mercy ID
V-00966-01
Encounter Date
07/03/2002
Last
Lemus
First
Miriam
DOB
04/01/1969
County
Dekalb
Street
4198 Woodwin Court
City
Doraville
State
GA
Zip
30360-
Home
(770) 986-0052
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Lemus
First
Leopoldo
DOB
06/15/1967
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
YES
Consentimiento De Participar
YES

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
Andy Lemus 10/31/1997 Mother GA/USA
Anthony Lemus 04/12/1987 Mother GA/USA
Edwin Lemus 06/23/1992 Mother GA/USA
Helen Lemus 09/22/1988 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
Maria Isabel Castañeda